Active NPI
Elaine Dennis, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Howell, NJ
National Provider Identifier
1356368971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 25MA07164700
- Practice address
- 4013 Route 9 N
Howell, NJ 07731-4021 - Phone
- (732) 905-5255
- Fax
- (732) 905-5266
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD 423829 | PA | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 25MA07164700 | NJ | Primary |
Addresses
Primary practice location
4013 Route 9 N
Howell, NJ 07731-4021
Mailing address
17 Casino Dr
Farmingdale, NJ 07727-3701
Phone (732) 938-3580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10110345 | Medicaid | PA |
Other names 1
- Pierro Christie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 423829 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Jersey Urgent Care | Current | Accepting new patients | |
| Central Jersey Urgent Care | Current | Accepting new patients | |
| Health Access Network | Emergency Medicine | Past | Accepting new patients |
| Tidal Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
298 Applegarth Rd
Ste B
Monroe Township, NJ 08831
Phone (609) 409-0600
731 State Route 35
Unit G
Ocean, NJ 07712
Phone (732) 455-8444
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Ocean, NJ
- NPI 1316285091
-
- Urgent Care Clinic/Center
- Skillman, NJ
- NPI 1407421985
-
- Emergency Medicine Physician
- Neptune, NJ
- NPI 1649222407
-
- Emergency Medicine Physician
- Upland, PA
- NPI 1831139187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1356368971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 CASINO DR",
"city": "FARMINGDALE",
"state": "NJ",
"postal_code": "077273701",
"telephone_number": "732-938-3580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4013 ROUTE 9 N",
"city": "HOWELL",
"state": "NJ",
"postal_code": "077314021",
"telephone_number": "732-905-5255",
"fax_number": "732-905-5266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD 423829",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NJ",
"license": "25MA07164700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10110345",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PIERRO",
"last_name": "CHRISTIE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Howell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.