Guillermo Carlos Elkouss, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MA033408 Issued in NJ

Practice address

433 Doral Dr
Cherry Hill, NJ 08003-3319

Phone

(856) 751-2380

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/uc33702_centerforadvancedurologysalem

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.

• Atlantic Lithotripsy

  • Lithotripsy Clinic/Center
  • Marlton, NJ
  • NPI 1245285634
  NPD (past)
• Center for Advanced Urology

  • Urology Physician
  • Salem, NJ
  • NPI 1598720443
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1609875954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 DORAL DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033319",
            "telephone_number": "856-912-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 DORAL DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033319",
            "telephone_number": "856-751-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKOUSS",
        "first_name": "GUILLERMO",
        "middle_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "MA033408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2310104",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8569121040",
            "affiliation": "N",
            "endpointDescription": "phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "433 Doral Dr",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080033319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marina Elias
• Dina S Elis, PT
• Elite Dental Management LLC
• Elizabeth Inclusive Learning Ctr
• Mindy Elkins
• Elle Vie LLC
• Daniel Byron Elliott, PT, MPT, GCS, CEEAA
• Tricia Elliott, M.S., L.P.C.
• Jolia Troi Ellis-Graham
• Tyler Ellis, ATC

• Urology Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.