Active NPI
Eric J Ellinghaus, M.D.
- Gastroenterology Physician
- Hackensack, NJ
National Provider Identifier
1275539496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA03427500
- Practice address
- 385 Prospect Ave
Hackensack, NJ 07601-2570 - Phone
- (201) 488-3003
- Fax
- (201) 488-6911
- NPI assigned
- Jun 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 34275 | NJ | |
| Gastroenterology Physician | 207RG0100X | 25MA03427500 | NJ | Primary |
Addresses
Primary practice location
385 Prospect Ave
Hackensack, NJ 07601-2570
Mailing address
385 Prospect Ave
Hackensack, NJ 07601-2570
Phone (201) 488-3003
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34275 | NJ | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1275539496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076012570",
"telephone_number": "201-488-3003",
"fax_number": "201-488-6911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076012570",
"telephone_number": "201-488-3003",
"fax_number": "201-488-6911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLINGHAUS",
"first_name": "ERIC",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "34275",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA03427500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.