Healthcare Provider Details

I. General information

NPI: 1255244745
Provider Name (Legal Business Name): ELIA FAMILY DENTAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 STATE ROUTE 138 STE 305
BELMAR NJ
07719-3764
US

IV. Provider business mailing address

1540 STATE ROUTE 138 STE 305
BELMAR NJ
07719-3764
US

V. Phone/Fax

Practice location:
  • Phone: 732-681-8604
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. NICOLE ELIA
Title or Position: DENTIST
Credential: DMD, FAGD
Phone: 862-684-3926