Elite Behavioral Group, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ELITE BEHAVIORAL GROUP, LLC

Practice address

1120 Bloomfield Ave
Suite 202
West Caldwell, NJ 07006-7138

Phone

(973) 641-9615

NPI assigned

Jun 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Shaw Wei, M.D.NPI 1588601306

Title

Psychiatrist

Phone

(973) 641-9615

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald Wei, MD

  • Psychiatry Physician
  • Cedar Grove, NJ
  • NPI 1588601306
  NPD (past) Authorized official
• Ruby Yedloutschnig

  • Clinical Psychologist
  • Cedar Grove, NJ
  • NPI 1245574201
  NPD (past)

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1649566902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 BLOOMFIELD AVE",
            "address_2": "SUITE 202",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067138",
            "telephone_number": "973-641-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 BLOOMFIELD AVE",
            "address_2": "SUITE 202",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067138",
            "telephone_number": "973-641-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE BEHAVIORAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "WEI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "SHAW",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "973-641-9615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.