Active NPI
Michele Elkins, M.D
- Geriatric Medicine (Internal Medicine) Physician
- Berkeley Heights, NJ
National Provider Identifier
1073736005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MA46895
- Practice address
- 1060 Mountain Ave
Berkeley Heights, NJ 07922-2322 - Phone
- (908) 464-6740
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MA46895 | NJ | Primary |
Addresses
Primary practice location
1060 Mountain Ave
Berkeley Heights, NJ 07922-2322
Mailing address
1060 Mountain Ave
Berkeley Heights, NJ 07922-2322
Phone (908) 464-8912
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71234181J | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081001000600 | NJ | Practitioner - Geriatric Medicine | 8426126673 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA46895 | NJ | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1073736005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 MOUNTAIN AVE",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222322",
"telephone_number": "908-464-8912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 MOUNTAIN AVE",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222322",
"telephone_number": "908-464-6740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKINS",
"first_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NJ",
"license": "MA46895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71234181J",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berkeley Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.