Keep Glowing CT3

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KEEP GLOWING CT3

Practice address

4057 Asbury Ave Ste 21
Tinton Falls, NJ 07753-7700

Phone

(848) 217-2662

NPI assigned

Mar 3, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Michael Ellis, DONPI 1972986693

Title

Owner

Phone

(848) 217-2662

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Joseph Ellis, D.O.

  • Internal Medicine Physician
  • Tinton Falls, NJ
  • NPI 1972986693
  NPD Authorized official

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1912852104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4057 ASBURY AVE STE 21",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077537700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4057 ASBURY AVE STE 21",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077537700",
            "telephone_number": "848-217-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEP GLOWING CT3",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-217-2662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan M Kasel, APN
• Shumaila Kashif, MD
• David Katz, LAT, ATC
• Jasrup Kaur, MD
• Cristina Michelle Kavendek, DMD
• Keep Glowing Medical Spa LLC
• Diane Joyce Kehn, LCSW
• Beshoi Kerolus
• Key Autism Services MN, LLC
• Key Autism Services NJ LLC

• Internal Medicine Physician in Tinton Falls, NJ
• Providers in Tinton Falls, 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 Mar 3, 2026; 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.