Active NPI
Elite Medical & Behavioral Care Services Limited Liability Company
- Gerontology Nurse Practitioner
- Hackettstown, NJ
National Provider Identifier
1053254425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- ELITE MEDICAL & BEHAVIORAL CARE SERVICES LIMITED LIABILITY COMPANY
- Practice address
- 11 Indigo Rd
Hackettstown, NJ 07840-4540 - Phone
- (646) 326-6071
- NPI assigned
- Apr 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nafisah Abdulsalam, DNP
- Title
- NP
- Phone
- (646) 326-6071
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
11 Indigo Rd
Hackettstown, NJ 07840-4540
Mailing address
11 Indigo Rd
Hackettstown, NJ 07840-4540
Phone (646) 326-6071
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Hackettstown, NJ
- NPI 1255706305
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775779200000",
"number": "1053254425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 INDIGO RD",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078404540",
"telephone_number": "646-326-6071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 INDIGO RD",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078404540",
"telephone_number": "646-326-6071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE MEDICAL & BEHAVIORAL CARE SERVICES LIMITED LIABILITY COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-10",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A",
"authorized_official_last_name": "ABDULSALAM",
"authorized_official_first_name": "NAFISAH",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "646-326-6071",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackettstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.