MEDICARE: ELITE PHYSICAL MEDICINE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor
2	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1801262258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE PHYSICAL MEDICINE LLC

Provider Business Mailing Address
First Line	:	101 GRAND AVE
Second Line	:
City	:	PALISADES PARK
State	:	NJ
Zip	:	07650-1007
Country	:	US
Telephone Number	:	201-944-5999
Fax Number	:	201-947-3994

Provider Business Practice Location Address
First Line	:	101 GRAND AVE
Second Line	:
City	:	PALISADES PARK
State	:	NJ
Zip	:	07650-1007
Country	:	US
Telephone Number	:	201-944-5999
Fax Number	:	201-947-3994

Authorized Official
Title or Position	:	MEMBER
Name	:	MR. WILLIAM K. YU
Credential	:	D.C.
Telephone Number	:	201-944-5999

Provider Enumeration Date	:	08/19/2015
Last Update Date	:	11/02/2015

Similar Medicare Providers

1225021405 — DR. LUKE EDMUND EYERMAN M.D.
Practice Location Address:

103 GRAND AVE
PALISADES PARK, NJ
07650-1007

Practice Phone: 201-947-7642
Practice Fax: 201-944-9558

1093572356 — PATRICIA REITER WHATLEY
Practice Location Address:

1007 EMBURY ST
PACIFIC PALISADES, CA
90272-2502

Practice Phone: 310-739-8610
Practice Fax:

1013980630 — STEVEN L PRINCE D.P.M.
Practice Location Address:

78 MARINA RD
ISLAND PARK, NY
11558-1007

Practice Phone: 516-432-1332
Practice Fax:

1295754422 — HENKIN NEUROSURGERY PA
Practice Location Address:

1007 PROFESSIONAL PARK DR
BRANDON, FL
33511-4886

Practice Phone: 813-651-3300
Practice Fax: 813-651-4455

1043230014 — HOLLY GONZALEZ LPC
Practice Location Address:

1007 E PARK AVE
PALESTINE, TX
75801-4500

Practice Phone: 903-731-8000
Practice Fax:

1619081809 — MARGE ELLEN EPSTEIN
Practice Location Address:

1111 WESTGATE ST
OAK PARK, IL
60301-1007

Practice Phone: 708-848-0576
Practice Fax:

Directions to “ELITE PHYSICAL MEDICINE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.