Healthcare Provider Details

I. General information

NPI: 1508700931
Provider Name (Legal Business Name): ELITE SCREENERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 E MAIN ST STE 102
DENVILLE NJ
07834-2158
US

IV. Provider business mailing address

95 E MAIN ST STE 102
DENVILLE NJ
07834-2158
US

V. Phone/Fax

Practice location:
  • Phone: 973-348-5522
  • Fax: 973-547-1353
Mailing address:
  • Phone: 973-348-5522
  • Fax: 973-547-1353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HAMIDA YAQOOBI
Title or Position: OWNER
Credential: FNP
Phone: 973-348-5522