Individual provider Active NPI

Elena J Cobleigh, APN C

  • Pediatric Nurse Practitioner
  • Denville, NJ
National Provider Identifier
1871960476
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00584600 Issued in NJ
Practice address
16 Pocono Rd Ste 112
Denville, NJ 07834-2905
Phone
(973) 627-3765
NPI assigned
Aug 31, 2015
Last updated
Nov 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ00584600 NJ Primary

Addresses

Primary practice location

16 Pocono Rd Ste 112
Denville, NJ 07834-2905

Mailing address

16 Pocono Rd Ste 112
Denville, NJ 07834-2905
Phone (973) 627-3765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NJ00584600NJMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1871960476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 POCONO RD STE 112",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342905",
            "telephone_number": "973-627-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POCONO RD STE 112",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342905",
            "telephone_number": "973-627-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBLEIGH",
        "first_name": "ELENA",
        "middle_name": "J",
        "credential": "APN C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00584600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.