Active NPI
Elite Concierge Medicine LLC
- Internal Medicine Physician
- West Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ELITE CONCIERGE MEDICINE LLC
- Practice address
- 414 Eagle Rock Ave Ste 105
West Orange, NJ 07052-4229 - Phone
- (973) 736-1365
- Fax
- (973) 736-1366
- NPI assigned
- Sep 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie Baux-Johnson, MD
- Title
- Owner
- Phone
- (973) 736-1365
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
414 Eagle Rock Ave Ste 105
West Orange, NJ 07052-4229
Mailing address
414 Eagle Rock Ave Ste 105
West Orange, NJ 07052-4229
Phone (973) 736-1365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2225469 | Elite Concierge Medicine | Certificate of waiver | May 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
414 Eagle Rock Ave
Ste 105
West Orange, NJ 07052
Phone (973) 736-1365
Interoperability endpoints
- https://api.platform.athenahealth.com/22397/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- West Orange, NJ
- NPI 1760705719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1548087844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 EAGLE ROCK AVE STE 105",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070524229",
"telephone_number": "973-736-1365",
"fax_number": "973-736-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 EAGLE ROCK AVE STE 105",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070524229",
"telephone_number": "973-736-1365",
"fax_number": "973-736-1366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE CONCIERGE MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-26",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "BAUX-JOHNSON",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-736-1365",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.