Individual provider Active NPI

Eleni Pellazgu

  • Family Nurse Practitioner
  • Morristown, NJ
National Provider Identifier
1558776070
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00507300 Issued in NJ
Practice address
435 South St
Morristown, NJ 07960-6422
Phone
(973) 971-7166
Fax
(973) 290-7518
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00507300 NJ
Family Nurse Practitioner 363LF0000X 26NJ00507300 NJ Primary

Addresses

Primary practice location

435 South St
Morristown, NJ 07960-6422

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (973) 656-6280

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141003000066 NJ Practitioner - Nurse Practitioner 8527288166 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00507300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Health Associates CurrentSince Nov 10, 2024 Accepting new patients
Ipc Hospitalist Physicians of New Jersey PC CurrentSince Nov 22, 2014 Accepting new patients
Practice Associates Medical Group CurrentSince Sep 22, 2014 Accepting new patients
Robert Wood Johnson Medical Associates CurrentSince Jan 26, 2020 Accepting new patients
Emergency Physician Associates of North Jersey P C CurrentSince Dec 1, 2022 Accepting new patients
Ipc Hospitalist Physicians of New Jersey PC CurrentSince Nov 22, 2014 Accepting new patients
Health and Integrative Wellness LLC PastSince Apr 14, 2024 Accepting new patients

Locations

5 Cold Hill Rd S
Ste 13
Mendham, NJ 07945
Phone (862) 571-9534

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

151 Madison Ave
Morristown, NJ 07960
Phone (973) 565-2700

435 South St
Morristown, NJ 07960
Phone (973) 971-4222

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

183 High St
Ste 1500
Newton, NJ 07860
Phone (973) 383-6244

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19419/brand/1/csg/1/fhir/r4
  • Direct secure messaging: eleni.pellazgu.1@19419.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.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1558776070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "973-656-6280",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SOUTH ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606422",
            "telephone_number": "973-971-7166",
            "fax_number": "973-290-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLAZGU",
        "first_name": "ELENI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00507300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00507300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.