Active NPI
Emanuel Elfenbein, MD
- Child & Adolescent Psychiatry Physician
- Roseland, NJ
National Provider Identifier
1881808756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 25MA04367700
- Practice address
- 204 Eagle Rock Ave
Roseland, NJ 07068-1723 - Phone
- (973) 228-8943
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 25MA04367700 | NJ | Primary |
Addresses
Primary practice location
204 Eagle Rock Ave
Roseland, NJ 07068-1723
Mailing address
204 Eagle Rock Ave
Roseland, NJ 07068-1723
Phone (973) 228-8943
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04367700 | NJ | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881808756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 EAGLE ROCK AVE",
"city": "ROSELAND",
"state": "NJ",
"postal_code": "070681723",
"telephone_number": "973-228-8943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 EAGLE ROCK AVE",
"city": "ROSELAND",
"state": "NJ",
"postal_code": "070681723",
"telephone_number": "973-228-8943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELFENBEIN",
"first_name": "EMANUEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NJ",
"license": "25MA04367700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseland, NJ
- Joseph Vincent Ditrolio, M.D.
- Hong-Hoa DO, D.D.S.
- Edward Fischer, Jr, DC, LLC
- Lori Ann Eggers, M.A.,CCC/SLPCERT AVT
- Eileen Vider Nutrition, LLC
- Emmanuel Behavior Healthcare PLLC
- Essex Endocrine Associates, LLC
- Essex Psychiatric and Recovery PC
- Expressable Therapy of New Jersey PC
- Sheila A Falk, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.