NPIMap

Individual provider Active NPI

Christopher Charles Gillis, MD

  • Neurological Surgery Physician
  • Eatontown, NJ
National Provider Identifier
1669891180
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA10428800 Issued in NJ
Practice address
745 Hope Rd 2ND Floor
Eatontown, NJ 07724
Phone
(732) 222-8866
Fax
(732) 544-2068
NPI assigned
Apr 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 28444 NE
Neurological Surgery Physician 207T00000X 036133982 IL
Neurological Surgery Physician 207T00000X 25MA10428800 NJ Primary

Addresses

Primary practice location

745 Hope Rd 2ND Floor
Eatontown, NJ 07724

Mailing address

745 Hope Rd 2ND Floor
Eatontown, NJ 07724
Phone (732) 222-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190116002735 NJ Practitioner - Neurosurgery 2567784127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates of New Jersey, P.C.Group PAC ID 2961405055, 42 clinicians

Practice addresses (Care Compare)

745 Hope Rd
Eatontown, NJ 07724-2031
Phone (732) 222-8866

Hospital & facility affiliations

  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion277
Laminectomy or laminotomy (partial removal of spine bones)90

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036133982ILMDNeurological Surgery Physician
28444NEMDNeurological Surgery Physician
25MA10428800NJMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates of New Jersey, P.C. Neurological Surgery CurrentSince Dec 4, 2018 Accepting new patients
Bell Wellness LLC Past Accepting new patients
University Neurosurgery Neurological Surgery Past Accepting new patients
Valley Physician Services PC Past Accepting new patients

Locations

745 Hope Rd
Fl 2
Eatontown, NJ 07724
Phone (732) 222-8866

745 Hope Rd
Eatontown, NJ 07724
Phone (732) 222-8866

101 Crawfords Corner Rd
Ste 1116D
Holmdel, NJ 07733
Phone (732) 226-0018

1200 E Ridgewood Ave
Ridgewood, NJ 07450
Phone (201) 327-8600

1200 E Ridgewood Ave
Ste 200
Ridgewood, NJ 07450
Phone (201) 327-8600

530 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 349-8454

530 Lakehurst Rd
Ste 308
Toms River, NJ 08755
Phone (732) 222-8866

121 State Route 36
Ste 330
West Long Branch, NJ 07764
Phone (732) 222-8866

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.

Hospital & facility affiliations 7

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": "1397174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1669891180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 HOPE RD 2ND FLOOR",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-222-8866",
            "fax_number": "732-544-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 HOPE RD 2ND FLOOR",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-222-8866",
            "fax_number": "732-544-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-11",
        "last_updated": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NE",
            "license": "28444",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036133982",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA10428800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.