Active NPI
Jonathan Gellis, DDS
- Dentist
- East Orange, NJ
National Provider Identifier
1184153181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 059961
- Practice address
- 385 Tremont Ave
East Orange, NJ 07018 - Phone
- (845) 548-3841
- NPI assigned
- Jun 5, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 059961 | NY | Primary |
Addresses
Primary practice location
385 Tremont Ave
East Orange, NJ 07018
Mailing address
789 Rolling Hill Dr
River Vale, NJ 07675-6170
Phone (845) 548-3841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059961 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan Gellis, DDS, P.C. | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Orangeburg, NY
- NPI 1497473755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533945600000",
"number": "1184153181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 ROLLING HILL DR",
"city": "RIVER VALE",
"state": "NJ",
"postal_code": "076756170",
"telephone_number": "845-548-3841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 TREMONT AVE",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "07018",
"telephone_number": "845-548-3841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLIS",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-05",
"last_updated": "2018-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "059961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.