Individual provider Active NPI

Eliana Puit, NP

  • Nurse Practitioner
  • Egg Harbor TWP, NJ
National Provider Identifier
1285363283
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01317800 Issued in NJ
Practice address
2500 English Creek Ave BLDG 1200
Second FL
Egg Harbor TWP, NJ 08234-5549
Phone
(609) 833-9833
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01317800 NJ Primary

Addresses

Primary practice location

2500 English Creek Ave BLDG 1200
Second FL
Egg Harbor TWP, NJ 08234-5549

Mailing address

2500 English Creek Ave BLDG 1200
Second FL
Egg Harbor TWP, NJ 08234-5549
Phone (609) 833-9833

Other names 1

  • Eliana Vallejos Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220801000036 NJ Practitioner - Nurse Practitioner 4880076389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

2500 English Creek Ave
BLDG 1200 2ND Floor Apg Surgical Specialtie
Egg Harbor Township, NJ 08234-5598
Phone (609) 833-9833

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01317800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Jul 31, 2022 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Atlanticare Health Services, Inc. CurrentSince Apr 15, 2025 Accepting new patients
Atlanticare Health Services, Inc. Current Accepting new patients
Atlanticare Physician Group CurrentSince Jul 31, 2022 Accepting new patients
Atlanticare Health Services, Inc. CurrentSince Apr 15, 2025 Accepting new patients
Atlanticare Health Services, Inc. Past Accepting new patients

Locations

1401 Atlantic Ave
Ste 2600
Atlantic City, NJ 08401
Phone (609) 441-8036

2500 English Creek Ave
Ste 1200
Egg Harbor Twp, NJ 08234
Phone (609) 704-1980

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

Organizations & group practices 7

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

Hospital & facility affiliations 1

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1285363283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE BLDG 1200",
            "address_2": "SECOND FL",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-833-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE BLDG 1200",
            "address_2": "SECOND FL",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-833-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUIT",
        "first_name": "ELIANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01317800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIANA",
            "last_name": "VALLEJOS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Egg Harbor TWP, NJ

Sources for this page

Verify at the official NPI Registry.