Elangovan Psychiatric Services LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ELANGOVAN PSYCHIATRIC SERVICES LLC

Practice address

470 Prospect Ave Ste 202
West Orange, NJ 07052-4106

Phone

(973) 325-5100

Fax

(973) 488-7133

NPI assigned

Feb 24, 2022

Last updated

Feb 24, 2022By 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

Judy Gerdts

Title

Office Manager

Phone

(718) 477-5670

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Locations

Practitioners 7

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.

• Natarajan Elangovan, MD, MPH, FACHE

  • Psychiatry Physician
  • West Orange, NJ
  • NPI 1649203530

  NY

  Medicare reassignment Care Compare group NPD
• Eric Finkiel, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Somerset, NJ
  • NPI 1235684655
  Medicare reassignment Care Compare group NPD
• Kelsie Alexa Lotito, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Orange, NJ
  • NPI 1225872062
  Medicare reassignment Care Compare group NPD
• Shashi Elangovan

  • Child & Adolescent Psychiatry Physician
  • Staten Island, NY
  • NPI 1356462246
  Medicare reassignment NPD
• Elda Ziko, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
  • NPI 1639580301

  NJ

  Medicare reassignment NPD
• George Anthony Fay, PSYCHIATRIC-MENTAL H

  • Psychiatric/Mental Health Nurse Practitioner
  • Jersey City, NJ
  • NPI 1336680123
  NPD
• Joseph Ruello, PA

  • Medical Physician Assistant
  • New York, NY
  • NPI 1457300782
  NPD (past)

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1619623071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143902",
            "telephone_number": "718-477-5670",
            "fax_number": "973-488-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 PROSPECT AVE STE 202",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524106",
            "telephone_number": "973-325-5100",
            "fax_number": "973-488-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELANGOVAN PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "GERDTS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-477-5670"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desktop",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "laptop",
            "address_1": "470 Prospect Ave Ste 202",
            "city": "West Orange",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070524106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desktop",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "laptop",
            "address_1": "470 Prospect Ave Ste 202",
            "city": "West Orange",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070524106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Ann Ejiofor, LPC
• Uju Ejiofor
• Ekg Interpretation Group
• Ekg Interpretation Group Limited
• Barbara Eklund, APRN
• Natarajan Elangovan, MD, MPH, FACHE
• Charles Elias, DO
• Antonio Elifani
• Elion Krok, M.D. PC (IMMC Health)
• Elite Concierge Medicine LLC

• Psychiatry Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.