Individual provider Active NPI

Sara Franci Gellis, DO

  • Family Medicine Physician
  • Vernon, NJ
National Provider Identifier
1609290337
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB10032700 Issued in NJ
Practice address
249 State RT 94
Vernon, NJ 07462-3327
Phone
(973) 827-4550
Fax
(973) 827-5845
NPI assigned
Feb 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 273579-1 NY
Family Medicine Physician 207Q00000X 25MB10032700 NJ Primary

Addresses

Primary practice location

249 State RT 94
Vernon, NJ 07462-3327

Mailing address

249 State RT 94
Vernon, NJ 07462-3327
Phone (973) 827-4550

Other names 1

  • Dr. Sara Gellis Other name

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
I20170620000189 NJ Practitioner - Family PracticePractitioner - Pediatric Medicine 7214158096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians

Practice addresses (Care Compare)

308 Willow Ave
Hoboken, NJ 07030-3808
Phone (201) 418-1000

Hospital & facility affiliations

  • Carepoint Health-Hoboken University Medical Center Hospital, Hoboken, NJ, CCN 310040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273579-1NYMDInfection Control Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Family Medicine CurrentSince Jun 1, 2017 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Aug 1, 2022 Accepting new patients
Advocare , LLC CurrentSince Jun 1, 2017 Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

122-132 Clinton St
Hoboken, NJ 07030
Phone (201) 418-3140

402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787

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 1

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": "1392595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1609290337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 STATE RT 94",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074623327",
            "telephone_number": "973-827-4550",
            "fax_number": "973-827-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 STATE RT 94",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074623327",
            "telephone_number": "973-827-4550",
            "fax_number": "973-827-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLIS",
        "first_name": "SARA",
        "middle_name": "FRANCI",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-17",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "273579-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB10032700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "GELLIS",
            "prefix": "DR.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vernon, NJ

Sources for this page

Verify at the official NPI Registry.