Active NPI
Elm Street Hospital Physicians, P.a.
- General Practice Physician
- Newark, NJ
National Provider Identifier
1548260557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- ELM STREET HOSPITAL PHYSICIANS, P.A.
- Practice address
- 155 Jefferson St
Newark, NJ 07105-1706 - Phone
- (973) 589-1300
- NPI assigned
- Aug 1, 2005
- Last updated
- Jul 21, 2022
- 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
- Dr. Joseph John Calabro, DO
- Title
- President
- Phone
- (732) 212-0060
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NJ | Primary |
Addresses
Primary practice location
155 Jefferson St
Newark, NJ 07105-1706
Mailing address
66 W Gilbert St
2ND Floor
Tinton Falls, NJ 07701-4918
Phone (732) 212-0051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8716404 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Newark, NJ
- NPI 1972504413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1548260557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 W GILBERT ST",
"address_2": "2ND FLOOR",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077014918",
"telephone_number": "732-212-0051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 JEFFERSON ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071051706",
"telephone_number": "973-589-1300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELM STREET HOSPITAL PHYSICIANS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-01",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "CALABRO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-212-0060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8716404",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.