Healthcare Provider Details

I. General information

NPI: 1447114566
Provider Name (Legal Business Name): ELITE TUTORING ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 ROUTE 516
OLD BRIDGE NJ
08857-1421
US

IV. Provider business mailing address

123 ROUTE 516
OLD BRIDGE NJ
08857-1421
US

V. Phone/Fax

Practice location:
  • Phone: 732-234-6685
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY MALEK
Title or Position: CEO
Credential:
Phone: 732-234-6685