NPI
Advocate2awareness
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2017-10-13
- Last updated
- 2017-10-13
Specialties
Licenses
- License NJ
- 37lc00225500
Location
- Practice location
- 342 Madison Hill Rd
- City
- Clark NJ
- Postal code
- 07066-2227
- Phone
- (908) 546-8947
Organization contact
- Name
- MIKE ELLIS
- Title
- president
- Phone
- 9085468947
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Clark, NJ. 559 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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