Healthcare Provider Details

I. General information

NPI: 1699958363
Provider Name (Legal Business Name): ELENA NAPOLITANO, MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2007
Last Update Date: 09/07/2020
Certification Date: 09/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 S LIVINGSTON AVE
LIVINGSTON NJ
07039-3927
US

IV. Provider business mailing address

58 SUMMIT CT
WESTFIELD NJ
07090-2832
US

V. Phone/Fax

Practice location:
  • Phone: 908-721-0677
  • Fax:
Mailing address:
  • Phone: 908-721-0677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number25MA07589100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ELENA NAPOLITANO
Title or Position: PRESIDENT
Credential: MD
Phone: 732-491-3319