Keep Glowing Ct3

Keep Glowing Ct3 is a healthcare organization registered as Internal Medicine Physician in Tinton Falls, NJ, holding Type 2 (organization) NPI 1912852104 since 2026. The authorized official on file is Michael Ellis, Owner.

✓ Active NPI ✓ Valid NPI checksum

NPI	1912852104
Entity type	Organization (Type 2)
Legal business name	Keep Glowing Ct3
Practice address	4057 ASBURY AVE STE 21, Tinton Falls, NJ, 07753
Phone	8482172662
Enumeration date	2026-03-03
Last updated in NPPES	2026-03-03

Authorized official

Name	Michael Ellis
Title	Owner
Phone	8482172662

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207R00000X	Internal Medicine Physician	Primary	—	—

Copy-ready billing details

Provider: Keep Glowing Ct3
NPI: 1912852104
Taxonomy: 207R00000X (Internal Medicine Physician)
Address: 4057 ASBURY AVE STE 21, Tinton Falls, NJ, 07753

Providers at this address

NPI	Name	Type	Specialty	Location
1972986693	Michael Ellis	Individual	Internal Medicine Physician	Tinton Falls, NJ
1295447407	Keep Glowing Medical Spa LLC	Organization	Internal Medicine Physician	Tinton Falls, NJ

Verify this record

Cross-check NPI 1912852104 against the authoritative CMS record: view Keep Glowing Ct3 on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Keep Glowing Ct3 located?

The practice location on file with NPPES is in Tinton Falls, NJ.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-03-03. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-03-03.