Active NPI
Elena Procaccini
- Physician Assistant
- Flemington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00883200
- Practice address
- 5 Walter E Foran Blvd Ste 4000
Flemington, NJ 08822-4675 - Phone
- (908) 505-2327
- NPI assigned
- Oct 22, 2024
- Last updated
- Jan 13, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00883200 | NJ | Primary |
Addresses
Primary practice location
5 Walter E Foran Blvd Ste 4000
Flemington, NJ 08822-4675
Mailing address
354 Opossum Rd
Skillman, NJ 08558-2626
Phone (609) 751-3455
Other practice location 1
19 Monroe St
Bridgewater, NJ 08807-3043
Phone (908) 505-2327
Other practice location 2
2 State Route 27 Ste 508
Edison, NJ 08820-3961
Phone (908) 505-2327
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
19 Monroe St
Bridgewater, NJ 08807-3043
Phone (908) 505-2327
2 Lincoln Hwy
Suite 508
Edison, NJ 08820-3961
Phone (908) 505-2327
5 Walter E Foran Blvd
Suite 4000
Flemington, NJ 08822-4675
Phone (908) 505-2327
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00883200 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Enlyv Clinics LLC | Current | Accepting new patients | |
| Live Urgent Care LLC | Past | Accepting new patients |
Locations
19 Monroe St
Bridgewater, NJ 08807
Phone (908) 505-2327
5 Walter E Foran Blvd
Ste 4000
Flemington, NJ 08822
Phone (908) 505-2327
Organizations & group practices 3
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Flemington, NJ
- NPI 1548135841
-
- Specialist
- Flemington, NJ
- NPI 1083223572
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flemington, NJ
- NPI 1922095116
-
dba Robert Wood Johnson University Hospital Somerset
- General Acute Care Hospital
- Somerville, NJ
- NPI 1003236878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1437970449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 OPOSSUM RD",
"city": "SKILLMAN",
"state": "NJ",
"postal_code": "085582626",
"telephone_number": "609-751-3455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 WALTER E FORAN BLVD STE 4000",
"city": "FLEMINGTON",
"state": "NJ",
"postal_code": "088224675",
"telephone_number": "908-505-2327"
}
],
"practiceLocations": [
{
"address_1": "19 Monroe St",
"address_purpose": "LOCATION",
"city": "Bridgewater",
"state": "NJ",
"postal_code": "088073043",
"country_code": "US",
"telephone_number": "908-505-2327",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 State Route 27 Ste 508",
"address_purpose": "LOCATION",
"city": "Edison",
"state": "NJ",
"postal_code": "088203961",
"country_code": "US",
"telephone_number": "908-505-2327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROCACCINI",
"first_name": "ELENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-22",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00883200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flemington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.