Search › New Jersey › 207R00000X
Michael Ellis, D.O
NPI 1972986693 · on the registry since 2015 · sole proprietor
Practice
- Address
- 4057 Asbury Ave Ste 21
Tinton Falls, NJ 07753 - Phone
- (848) 217-2662
- Organisation at this address
- Walgreen Co
Keep Glowing Ct3
Buono Chiropractic Clinic
Rite Aid Of New Jersey Inc
Keep Glowing Medical Spa LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 208M00000X
- Licence states on file
- SD, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey