Individual provider Active NPI

Elaine Vellas, M.D.

  • Family Medicine Physician
  • Verona, NJ
National Provider Identifier
1649362377
Registry record updated Jan 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA04732500 Issued in NJ
Practice address
50 Pompton Ave
Verona, NJ 07044-2917
Phone
(201) 896-0900
Fax
(201) 896-2627
NPI assigned
Sep 29, 2006
Last updated
Jan 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA04732500 NJ Primary
Occupational Medicine Physician 2083X0100X MA47325 NJ

Addresses

Primary practice location

50 Pompton Ave
Verona, NJ 07044-2917

Mailing address

50 Pompton Ave
Verona, NJ 07044-2917
Phone (201) 896-0900

Other identifiers 2

IdentifierTypeStateIssuer
0K1348OtherNJHEALTHNET
454367OtherNJRAIL ROAD MEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422001067 NJ Practitioner - Family PracticePractitioner - Plastic and Reconstructive Surgery 6800882069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First Care Medical Group, IncGroup PAC ID 2062407893, 4 clinicians

Practice addresses (Care Compare)

750 Valley Brook Ave
Lyndhurst, NJ 07071-1301
Phone 2018960900200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA47325NJMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Care Medical Group, Inc CurrentSince Feb 23, 2011 Accepting new patients
First Care Medical Group, Inc CurrentSince Feb 23, 2011 Accepting new patients

Locations

750 Valley Brook Ave
Lyndhurst, NJ 07071
Phone (201) 896-0900

50 Pompton Ave
Verona, NJ 07044
Phone (973) 857-3400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547251200000",
    "number": "1649362377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442917",
            "telephone_number": "201-896-0900",
            "fax_number": "201-896-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442917",
            "telephone_number": "201-896-0900",
            "fax_number": "201-896-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLAS",
        "first_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2019-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA04732500",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NJ",
            "license": "MA47325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0K1348",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "454367",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

Verify at the official NPI Registry.