Healthcare Provider Details

I. General information

NPI: 1467986109
Provider Name (Legal Business Name): DR. ANDREW F MCELROY IV
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2017
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 STONE HARBOR BLVD., BRIGHTON PLAZA UNIT 1
CAPE MAY COURT HOUSE NJ
08210-2121
US

IV. Provider business mailing address

1 FEDERAL ST STE 200
CAMDEN NJ
08103-1088
US

V. Phone/Fax

Practice location:
  • Phone: 609-463-2948
  • Fax: 609-778-2623
Mailing address:
  • Phone: 848-288-6935
  • Fax: 732-790-0107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number25MA11263900
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number25MA11263900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: