Individual provider Active NPI

Neely Elisha, D.O.

  • Obstetrics & Gynecology Physician
  • Vineland, NJ
National Provider Identifier
1508293978
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB09622400 Issued in NJ
Practice address
1505 W Sherman Ave
Vineland, NJ 08360-6912
Phone
(856) 641-8000
NPI assigned
Oct 1, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 25MB09622400 NJ Primary

Addresses

Primary practice location

1505 W Sherman Ave
Vineland, NJ 08360-6912

Mailing address

10 Coolidge Rd
Cherry Hill, NJ 08002-1631

Other practice location 1

600 Jessup Rd Ste 100
West Deptford, NJ 08066-2413
Phone (856) 845-4061

Other practice location 2

155 Bridgeton Pike Ste B
Mullica Hill, NJ 08062-2669
Phone (856) 845-4061

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160211000973 NJ Practitioner - Obstetrics/Gynecology 5597069542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers New Jersey Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB Hospitalist Services New Jersey PAGroup PAC ID 3476859182, 45 clinicians
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone (800) 967-2289

2950 College Dr
Suite 2D
Vineland, NJ 08360-6933
Phone (856) 641-6313

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB09622400NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince Dec 30, 2022 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Jan 1, 2016 Accepting new patients
Inspira Medical Center Woodbury PastSince Jan 1, 2016 Accepting new patients
Westwood Women's Health Center PC Obstetrics & Gynecology Past Accepting new patients

Locations

155 Bridgeton Pike
Ste B
Mullica Hill, NJ 08062
Phone (856) 845-4061

700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

2466 E Chestnut Ave
Ste 2
Vineland, NJ 08361
Phone (856) 213-9500

2950 College Dr
Ste 2D
Vineland, NJ 08360
Phone (856) 641-6313

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

600 Jessup Rd
Ste 100
West Deptford, NJ 08086
Phone (856) 845-4061

17 W Red Bank Ave
Ste 104
Woodbury, NJ 08096
Phone (856) 848-0665

Organizations & group practices 4

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 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": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508293978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COOLIDGE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606912",
            "telephone_number": "856-641-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Jessup Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Deptford",
            "state": "NJ",
            "postal_code": "080662413",
            "country_code": "US",
            "telephone_number": "856-845-4061",
            "fax_number": "856-384-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Bridgeton Pike Ste B",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080622669",
            "country_code": "US",
            "telephone_number": "856-845-4061",
            "fax_number": "856-384-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELISHA",
        "first_name": "NEELY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB09622400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.