Individual provider Active NPI

Elena V Selina, M.D.

  • Internal Medicine Physician
  • Galloway, NJ
National Provider Identifier
1700191582
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08815700 Issued in NJ
Practice address
48 S New York Rd Ste B3
Galloway, NJ 08205-9676
Phone
(609) 404-0121
Fax
(609) 404-0131
NPI assigned
Aug 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08815700 NJ Primary

Addresses

Primary practice location

48 S New York Rd Ste B3
Galloway, NJ 08205-9676

Mailing address

48 S New York Rd Ste B3
Galloway, NJ 08205-9676
Phone (609) 404-0121

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
I20110204000142 NJ Practitioner - Internal Medicine 6800076175 Practice locations: Smithville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

48 S New York Rd
B3
Galloway, NJ 08205-9676

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.43 of 100Reported as individual
Quality
70.47
Improvement activities
40
Cost
70.82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Convenient Primary Care Past Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1700191582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 S NEW YORK RD STE B3",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059676",
            "telephone_number": "609-404-0121",
            "fax_number": "609-404-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 S NEW YORK RD STE B3",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059676",
            "telephone_number": "609-404-0121",
            "fax_number": "609-404-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELINA",
        "first_name": "ELENA",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08815700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.