Eliana Cristina Callejas, PA-C
Individual provider Active NPI Family Medicine Physician · Hackettstown, NJ
NPI 1154042174 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1154042174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25MP00728100 (NJ)
- Practice address
- 657 Willow Grove St Ste 401
Hackettstown, NJ 07840-1868 - Phone
- (908) 850-7800
- NPI assigned
- Sep 7, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Shah Anuj MD PC
Practice addresses (Care Compare)
293 Passaic St
Passaic, NJ 07055-5803
Phone (973) 916-0002
34 Mill St
Paterson, NJ 07501-1825
Phone (973) 916-0002
356 Totowa Ave
Paterson, NJ 07502-2137
Phone (973) 916-0002
433 N Broad St
Elizabeth, NJ 07208-3300
Phone (973) 916-0002
4518 Bergenline Ave
Union City, NJ 07087-2734
Phone (973) 916-0002
591 Franklin Ave
Nutley, NJ 07110-1284
Phone (973) 916-0002
621 Kennedy Blvd
North Bergen, NJ 07047-1728
Phone (973) 916-0002
643 Mount Prospect Ave
Newark, NJ 07104-3109
Phone (973) 916-0002
757 Mount Prospect Ave
Newark, NJ 07104-3220
Phone (973) 916-0002
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230110003051 | NJ | Practitioner - Physician Assistant | 6406226364 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00728100 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plaza Family Care PC | Pediatrics | Current |
Accepting new patients |
| Humberto T Perez MD PC | Family Medicine | Past |
Accepting new patients |
| Orion Healthcare LLC | Past | Accepting new patients | |
| Immediate Care P.C. | Family Medicine | Past | Accepting new patients |
| Bergenline Foot Care LLC | Past |
Accepting new patients |
Locations
657 Willow Grove St
Ste 401
Hackettstown, NJ 07840
Phone (908) 850-0017
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1506
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MP00728100 | NJ | |
| Family Medicine Physician | 207Q00000X | 25MP00728100 | NJ | Yes |
Addresses
Primary practice location
657 Willow Grove St Ste 401
Hackettstown, NJ 07840-1868
Mailing address
111 E Dewey Ave Apt 400
Wharton, NJ 07885-2320
Other providers in Hackettstown, NJ
- C&B Enterprises LLC
- Nicholas Cahill
- Grace Caico
- Michael Calderon
- John J. Calicchio
- Neil M Campbell
- Thomas W Campion
- Carmen C Canlas
- Amanda Derrick Canova
- Mary Cathryn Leigh Capitanelli
All providers in Hackettstown, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.