Individual provider Active NPI

Elissa Jeanne Santoro, MD

  • Surgical Oncology Physician
  • Livingston, NJ
National Provider Identifier
1528023405
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
25MA02235700 Issued in NJ
Practice address
200 S Orange Ave
Livingston, NJ 07039-5817
Phone
(973) 533-0222
Fax
(973) 535-1121
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 25MA02235700 NJ Primary

Addresses

Primary practice location

200 S Orange Ave
Livingston, NJ 07039-5817

Mailing address

200 S Orange Ave
Livingston, NJ 07039-5817
Phone (973) 533-0222

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
I20090217000311 NJ Practitioner - General Surgery 6204991771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Woman's Medical College, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montclair Breast Center PCGroup PAC ID 6608881602, 12 clinicians

Practice addresses (Care Compare)

37 N Fullerton Ave
2ND Floor
Montclair, NJ 07042-3446
Phone (973) 509-1818

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Feb 1, 2013 Accepting new patients
Montclair Breast Center PC CurrentSince Mar 21, 2022 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Feb 1, 2013 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

200 S Orange Ave
Livingston, NJ 07039
Phone (973) 322-7007

200 S Orange Ave
#112
Livingston, NJ 07039
Phone (973) 322-6457

200 S Orange Ave
Ste 112
Livingston, NJ 07039
Phone (212) 249-1500

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

37 N Fullerton Ave
Ste 2
Montclair, NJ 07042
Phone (973) 509-1818

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1528023405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "973-533-0222",
            "fax_number": "973-535-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "973-533-0222",
            "fax_number": "973-535-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "ELISSA",
        "middle_name": "JEANNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NJ",
            "license": "25MA02235700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.