Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keep Glowing Medical Spa LLC

Organization Internal Medicine Physician · NPI 1295447407

Keep Glowing Medical Spa LLC is an Internal Medicine Physician in Tinton Falls, New Jersey. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4057 Asbury Ave Ste 21
Tinton Falls, NJ 07753-7700
Phone: (848) 217-2662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1295447407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Ellis — Owner · (848) 217-2660
NPI enumeratedDecember 19, 2022
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023
Mailing address4057 Asbury Ave Ste 21, Tinton Falls, NJ 07753-7700

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