Active NPI
Vincent J. Eletto, MD
- Emergency Medicine Physician
- Raritan, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA06813700
- Practice address
- 503 Route 202
Raritan, NJ 08869-1574 - Phone
- (908) 557-9802
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MA06813700 | NJ | Primary |
Addresses
Primary practice location
503 Route 202
Raritan, NJ 08869-1574
Mailing address
66 West Gilbert Street
Red Bank, NJ 07701-4918
Phone (732) 212-0051
Other practice location 1
307 S Evergreen Ave
Woodbury, NJ 08096-2739
Phone (856) 686-4300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6004428 | Other | NJ | HORIZON NJ HEALTH |
| 223586664 | Other | NJ | TRICARE/CHAMPUS |
| 223586664 | Other | NJ | BCBS |
| 5002702 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06813700 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plainfield Emergency Physicians, PA | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Associates of North Jersey P C | Emergency Medicine | Current | Accepting new patients |
| Middlesex Emergency Physicians, P.a. | Emergency Medicine | Current | Accepting new patients |
| Emergency Associates of St Marys LLC | Emergency Medicine | Current | Accepting new patients |
| Stadium Emergency Associates | Current | Accepting new patients | |
| Maimonides Medical Center - MMC Emergency Physicians FPP | Emergency Medicine | Past | Accepting new patients |
| Emergency Physician Services of New York, P.C. | Emergency Medicine | Past | Accepting new patients |
Locations
300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460
65 James St
Edison, NJ 08820
Phone (732) 321-7010
350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300
55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051
307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300
Interoperability endpoints
- vincent.eletto.1@2983.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Passaic, NJ
- NPI 1477063329
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
-
- Emergency Medicine Physician
- Edison, NJ
- NPI 1811921760
-
- Emergency Medicine Physician
- Plainfield, NJ
- NPI 1659309680
-
- Emergency Medical Services (Emergency Medicine) Physician
- Secaucus, NJ
- NPI 1205293693
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1982708202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1558300327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 WEST GILBERT STREET",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077014918",
"telephone_number": "732-212-0051",
"fax_number": "732-212-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 ROUTE 202",
"city": "RARITAN",
"state": "NJ",
"postal_code": "088691574",
"telephone_number": "908-557-9802"
}
],
"practiceLocations": [
{
"address_1": "307 S Evergreen Ave",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "NJ",
"postal_code": "080962739",
"country_code": "US",
"telephone_number": "856-686-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELETTO",
"first_name": "VINCENT",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA06813700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "6004428",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "223586664",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "223586664",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5002702",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raritan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.