Organization Active NPI

Elite Care Support Services

  • Case Management Agency
  • Ridgefield, NJ
National Provider Identifier
1922563170
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ELITE CARE SUPPORT SERVICES
Practice address
27 Bryant PL Apt B
Ridgefield, NJ 07657-1858
Phone
(551) 556-6113
NPI assigned
Feb 1, 2019
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Jennifer PimentelNPI 1851720650
Title
Owner
Phone
(551) 556-6113

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
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

27 Bryant PL Apt B
Ridgefield, NJ 07657-1858

Mailing address

27 Bryant PL Apt B
Ridgefield, NJ 07657-1858
Phone (551) 556-6113

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1922563170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BRYANT PL APT B",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571858",
            "telephone_number": "551-556-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BRYANT PL APT B",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571858",
            "telephone_number": "551-556-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "PIMENTEL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-556-6113"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.