Individual provider Active NPI

Elena Catherine Pappas, D.O.

  • Family Medicine Physician
  • Toms River, NJ
National Provider Identifier
1124204425
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB08458700 Issued in NJ
Practice address
1006 Commons Way
Building G
Toms River, NJ 08755-6429
Phone
(732) 551-2003
Fax
(732) 551-2033
NPI assigned
Jan 16, 2008
Last updated
Dec 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB08458700 NJ Primary

Addresses

Primary practice location

1006 Commons Way
Building G
Toms River, NJ 08755-6429

Mailing address

1006 Commons Way
Building G
Toms River, NJ 08755-6429
Phone (732) 551-2003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090803000386 NJ Practitioner - Family Practice 1759434152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1006 Commons Way
BLDG G
Toms River, NJ 08755-6429
Phone (732) 551-2003

1006 Commons Way BLDG G
Toms River, NJ 08755-6429

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB08458700NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pappas Family Medical Center, LLC Family Medicine CurrentSince Feb 8, 2010 Accepting new patients
Community Medical Center Inc Past Accepting new patients

Locations

1006 Commons Way
Bldg G
Toms River, NJ 08755
Phone (732) 341-1600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1124204425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 COMMONS WAY",
            "address_2": "BUILDING G",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556429",
            "telephone_number": "732-551-2003",
            "fax_number": "732-551-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 COMMONS WAY",
            "address_2": "BUILDING G",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556429",
            "telephone_number": "732-551-2003",
            "fax_number": "732-551-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "ELENA",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08458700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.