DR. STEPHEN J. ELLIS M.D. NPI 1801831854

NPI Information

  • NPI: 1801831854
  • Provider Name: DR. STEPHEN J. ELLIS, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 210 JACK MARTIN BLVD
    SUITE D-1
    BRICK, NJ
    ZIP 08724
  • Phone: (732) 458-5067

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NPI Details

DR. Stephen J. Ellis, M.D. is a specialist in Brick, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Stephen J. Ellis, M.D. NPI is 1801831854. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

210 JACK MARTIN BLVD
SUITE D-1
BRICK, NJ
ZIP 08724-771
Phone: (732) 458-5067
Fax: (732) 458-4962

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dialysis services, per day, less than full month service (20 years or older) (HCPCS:90970)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 6/16/2006 and was last updated on 10/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist25MA03904800NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E13556MEDICARE UPIN
2390003718OTHERRAILROAD MEDICARE NUMBER
3402358BSBMEDICARE PIN
44871405MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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