Individual provider Active NPI

Natarajan Elangovan, MD, MPH, FACHE

  • Psychiatry Physician
  • West Orange, NJ
National Provider Identifier
1649203530
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA06059400 Issued in NJ
Practice address
470 Prospect Ave Ste 202
West Orange, NJ 07052-4106
Phone
(973) 325-5100
Fax
(973) 488-7133
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA06059400 NJ Primary
Neurology Physician 2084N0400X MA60594 NJ

Addresses

Primary practice location

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

Mailing address

470 Prospect Ave Ste 202
West Orange, NJ 07052-4106
Phone (973) 325-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111020000027 NY Practitioner - Psychiatry 9133134562 Reassigns benefits to 5 organizations
Practice locations: Staten Island, NY
I20131022002016 NJ Practitioner - Psychiatry 9133134562 Reassigns benefits to 1 organization
Practice locations: West Orange, NJ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elangovan Psychiatric Services PLLCGroup PAC ID 2860867447, 6 clinicians
Elangovan Psychiatric Services LLCGroup PAC ID 8729460894, 3 clinicians

Practice addresses (Care Compare)

1756 Richmond Ave
Staten Island, NY 10314-3902
Phone (718) 477-5670

470 Prospect Ave
West Orange, NJ 07052-4106
Phone (973) 325-5100

Merit-based Incentive Payment System (MIPS)

Final score
19.1 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
63.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA60594NJMDNeurology Physician
25MA06059400NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elangovan Psychiatric Services LLC Psychiatry CurrentSince Apr 1, 2022 Accepting new patients
Physicians of University Hospital, PC Psychiatry CurrentSince May 1, 2013 Accepting new patients
North Shore-Lij Medical PC CurrentSince May 1, 2019 Accepting new patients
Brookdale Hospital Medical Center CurrentSince May 15, 2017 Accepting new patients
Physicians of University Hospital, PC CurrentSince May 1, 2013 Accepting new patients
Elangovan Psychiatric Services PLLC Psychiatry CurrentSince Dec 28, 2022 Accepting new patients
Christ Medical Transport LLC CurrentSince Jul 1, 2023 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince May 15, 2017 Accepting new patients
Interfaith Psychiatry Services, P.C. Psychiatry Past Accepting new patients

Locations

470 Prospect Ave
Ste 202
West Orange, NJ 07052
Phone (973) 325-5100

470 Prospect Ave
Ste 102
West Orange, NJ 07052
Phone (973) 325-4100

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

300 Community Dr
Plandome, NY 11030

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

1756 Richmond Ave
Staten Island, NY 10314
Phone (718) 370-3581

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

Organizations & group practices 9

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1649203530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "ELANGOVAN",
        "first_name": "NATARAJAN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, FACHE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06059400",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "MA60594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.