Individual provider Active NPI

Elena Procaccini

  • Physician Assistant
  • Flemington, NJ
National Provider Identifier
1437970449
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00883200 Issued in NJ
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250502000582 NJ Practitioner - Physician Assistant 7719403757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
The Enlyv Clinics LLCGroup PAC ID 7113346057, 6 clinicians
All Enlyv Clinics LLCGroup PAC ID 9032696281, 4 clinicians

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

LicenseStateTypeSpecialty
25MP00883200NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
All Enlyv Clinics LLC CurrentSince Feb 2, 2026 Accepting new patients
Live Urgent Care LLC PastSince Oct 1, 2024 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.