Individual provider Active NPI

Dana B Gellis, MD

  • Internal Medicine Physician
  • Paramus, NJ
National Provider Identifier
1477500577
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07026200 Issued in NJ
Practice address
340 Evelyn St
2ND Floor
Paramus, NJ 07652-2908
Phone
(201) 265-5000
Fax
(201) 265-5003
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07026200 NJ Primary

Addresses

Primary practice location

340 Evelyn St
2ND Floor
Paramus, NJ 07652-2908

Mailing address

4-18 Grunauer PL
Fair Lawn, NJ 07410-3049

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118000653 NJ Practitioner - Internal Medicine 6901860956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York Downstate Medical Center, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prestige Medical and Rehabilitation Center PCGroup PAC ID 3476517442, 2 clinicians

Practice addresses (Care Compare)

1 Kalisa Way
Suite 309
Paramus, NJ 07652-3516
Phone (201) 265-5000

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07026200NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Medical & Rehabilitation Center, P.C. Internal Medicine CurrentSince May 7, 2003 Accepting new patients
Pain Spine & Rehab Past Accepting new patients
Medical Rehabilitation, PC Past Accepting new patients

Locations

26-01 Pellack Dr
Ste 2
Fair Lawn, NJ 07410
Phone (201) 475-2225

340 Evelyn St
#2
Paramus, NJ 07652
Phone (201) 265-5000

80 E Ridgewood Ave
Ste 4
Paramus, NJ 07652
Phone (201) 265-5000

1 Kalisa Way
Ste 309
Paramus, NJ 07652
Phone (201) 265-5000

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477500577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-18 GRUNAUER PL",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 EVELYN ST",
            "address_2": "2ND FLOOR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522908",
            "telephone_number": "201-265-5000",
            "fax_number": "201-265-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLIS",
        "first_name": "DANA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07026200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.