Organization Active NPI

Daniel a. Elber, D.O., P.a.

Doing business as Preventive Healthcare Associates

  • Family Medicine Physician
  • Edison, NJ
National Provider Identifier
1760497531
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB0153600 Issued in NJ
Legal business name
DANIEL A. ELBER, D.O., P.A.
Doing business as
Preventive Healthcare Associates
Practice address
102 James St
Suite 202
Edison, NJ 08820-3970
Phone
(732) 548-5541
Fax
(732) 548-2610
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Sandra Elber
Title
Practice Administrator
Phone
(732) 548-5541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25MB0153600 NJ Primary

Addresses

Primary practice location

102 James St
Suite 202
Edison, NJ 08820-3970

Mailing address

102 James St
Suite 202
Edison, NJ 08820-3970
Phone (732) 548-5541

Other identifiers 1

IdentifierTypeStateIssuer
2661403MedicaidNJ

Other names 1

  • Preventive Healthcare Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1760497531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 JAMES ST",
            "address_2": "SUITE 202",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203970",
            "telephone_number": "732-548-5541",
            "fax_number": "732-548-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 JAMES ST",
            "address_2": "SUITE 202",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203970",
            "telephone_number": "732-548-5541",
            "fax_number": "732-548-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL A. ELBER, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "ELBER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "732-548-5541"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB0153600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2661403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preventive Healthcare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.