Organization Active NPI

Elite Podiatry

  • Sports Medicine Podiatrist
  • Toms River, NJ
National Provider Identifier
1780440826
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine PodiatristTaxonomy code 213ES0000X
Legal business name
ELITE PODIATRY
Practice address
3 Plaza Dr Ste 18
Toms River, NJ 08757-3765
Phone
(347) 776-1349
NPI assigned
Feb 26, 2024
Last updated
Feb 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Josef ElouzeNPI 1619556578
Title
Owner
Phone
(347) 776-1349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X Primary

Addresses

Primary practice location

3 Plaza Dr Ste 18
Toms River, NJ 08757-3765

Mailing address

406 Belmont Dr
Cherry Hill, NJ 08002-1904
Phone (347) 776-1349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240626000035 NJ Part B Supplier - Clinic/Group Practice 1153865670 Receives reassigned benefits from 1 practitioner
Practice locations: Toms River, NJ

National Provider Directory

National Provider Directory

Locations

3 Plaza Dr
Ste 18
Toms River, NJ 08757
Phone (347) 776-1349

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1780440826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BELMONT DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021904",
            "telephone_number": "347-776-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PLAZA DR STE 18",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087573765",
            "telephone_number": "347-776-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "ELOUZE",
        "authorized_official_first_name": "JOSEF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-776-1349"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.