Healthcare Provider Details

I. General information

NPI: 1982822300
Provider Name (Legal Business Name): ELIAS MEDICAL ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2839 ROUTE 10 EAST SUITE 202
MORRIS PLAINS NJ
07950
US

IV. Provider business mailing address

1042 MORRIS TURNPIKE
SHORT HILLS NJ
07078
US

V. Phone/Fax

Practice location:
  • Phone: 973-292-9248
  • Fax:
Mailing address:
  • Phone: 973-912-0782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMA57201
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMA062264
License Number StateNJ

VIII. Authorized Official

Name: DR. AHDI I. ELIAS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 973-912-0782