Organization Active NPI

Elan Medical LLC

  • Family Medicine Physician
  • Hoboken, NJ
National Provider Identifier
1902041783
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06653300 Issued in NJ
Legal business name
ELAN MEDICAL LLC
Practice address
79 Hudson St Ste 302a
Hoboken, NJ 07030-5641
Phone
(201) 653-7450
NPI assigned
Dec 9, 2008
Last updated
Jan 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Mrs. Roxana Peeke
Title
Billing Manager
Phone
(201) 522-3205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA06653300 NJ Primary

Addresses

Primary practice location

79 Hudson St Ste 302a
Hoboken, NJ 07030-5641

Mailing address

241 Prospect Ave
Oradell, NJ 07649-2316
Phone (201) 653-7450

National Provider Directory

National Provider Directory

Locations

79 Hudson St
Ste 302A
Hoboken, NJ 07030
Phone (201) 653-7450

79 Hudson St
Ste 500
Hoboken, NJ 07030
Phone (201) 653-7450

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1902041783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 PROSPECT AVE",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492316",
            "telephone_number": "201-653-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HUDSON ST STE 302A",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305641",
            "telephone_number": "201-653-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "PEEKE",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "201-522-3205",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06653300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.