Michelle Lynn Ellern, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MB09015700 Issued in NJ

Practice address

1 Medical Center Dr
Stratford, NJ 08084-1500

Phone

(856) 566-6708

NPI assigned

Aug 13, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1740412477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DRIVE",
            "address_2": "UMDNJ-SOM",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "08084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841500",
            "telephone_number": "856-566-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERN",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB09015700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Elizabeth Eaise
• Scott Patrick Ebner, PA-C
• Oghenefegor Edegbo, MD
• Edward J Balling D M D & Associates
• Abdul W Elahi, M.D.
• Daniel Thomas Ellis, MD
• Nicholas Eltman
• Genesis Juliana Escalante
• Dean Austin Penaranda Esma, MD
• Daniel Artruo Espinosa, D.O.

• Internal Medicine Physician in Stratford, NJ
• Providers in Stratford, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.