Organization Active NPI

Elite Healthcare, Inc.

  • Home Health Agency
  • Newark, NJ
National Provider Identifier
1184848616
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELITE HEALTHCARE, INC.
Practice address
17 Academy St
Suite 404
Newark, NJ 07102-2923
Phone
(973) 642-0033
Fax
(973) 642-8808
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Sam Pessar
Title
President
Phone
(201) 862-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17 Academy St
Suite 404
Newark, NJ 07102-2923

Mailing address

131 Main St
Suite 180
Hackensack, NJ 07601-7052
Phone (201) 862-1300

Other identifiers 1

IdentifierTypeStateIssuer
0061816MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Elite Healthcare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17 Academy St
Ste 404
Newark, NJ 07102
Phone (973) 642-0033

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184848616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MAIN ST",
            "address_2": "SUITE 180",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017052",
            "telephone_number": "201-862-1300",
            "fax_number": "201-837-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ACADEMY ST",
            "address_2": "SUITE 404",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022923",
            "telephone_number": "973-642-0033",
            "fax_number": "973-642-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PESSAR",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-862-1300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061816",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.