Individual provider Active NPI

Wesam Elhayek

  • Family Nurse Practitioner
  • Livingston, NJ
National Provider Identifier
1902609894
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15302800 Issued in NJ
Practice address
70 S Orange Ave Ste 235
Livingston, NJ 07039-4915
Phone
(973) 607-4911
Fax
(973) 607-4911
NPI assigned
Mar 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ15302800 NJ
Family Nurse Practitioner 363LF0000X 26NJ15302800 NJ Primary

Addresses

Primary practice location

70 S Orange Ave Ste 235
Livingston, NJ 07039-4915

Mailing address

4 Kristi Dr
East Hanover, NJ 07936-3219
Phone (973) 981-1229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ15302800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Life Mobile Imaging, Inc CurrentSince Mar 30, 2025 Accepting new patients
Life Medical Group, PC CurrentSince Mar 30, 2025 Accepting new patients

Locations

120 Eagle Rock Ave
Ste 200
East Hanover, NJ 07936

70 S Orange Ave
Ste 235
Livingston, NJ 07039
Phone (973) 607-4911

477 State Route 10
Ste 204
Randolph, NJ 07869
Phone (732) 563-4277

Interoperability endpoints

  • Direct secure messaging: wesam.elhayek.1@32967.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1902609894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 KRISTI DR",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363219",
            "telephone_number": "973-981-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S ORANGE AVE STE 235",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394915",
            "telephone_number": "973-607-4911",
            "fax_number": "973-607-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHAYEK",
        "first_name": "WESAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ15302800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15302800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.