Emc Healthcare Services LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MB07387100 Issued in NJ

Legal business name

EMC HEALTHCARE SERVICES LLC

Practice address

24 Ashburn Rd
Wayne, NJ 07470

Phone

(917) 921-2913

Fax

(973) 341-6114

NPI assigned

Jul 18, 2014

Last updated

Feb 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Phillippe Thomas

Title

Chief of Operations

Phone

(347) 645-5468

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1558778811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3176",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "917-921-2913",
            "fax_number": "973-341-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ASHBURN RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "917-921-2913",
            "fax_number": "973-341-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMC HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PHILLIPPE",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "347-645-5468",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB07387100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "25MB07387100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "438561",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01655792",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohamed A Elrafei, MD
• Elsaid Balboul MD PA
• Teresa M Ely, LPC
• Elyse Guli Licensed Clinical Social Worker LLC
• Arash Emami, M.D.
• Emerald Health Care Services, Inc.
• Emerald Psych LLC
• Paula Dianne Emma, OT
• Denise Kathryn Emolo, BCBA
• Engel Burman at Wayne, LLC (The Bristal at Wayne)

• Emergency Medicine Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.