Healthcare Provider Details

I. General information

NPI: 1184421273
Provider Name (Legal Business Name): ELEXUS GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 S ESSEX AVE FL 2
ORANGE NJ
07050-3401
US

IV. Provider business mailing address

511 S ORANGE AVE
SOUTH ORANGE NJ
07079-2636
US

V. Phone/Fax

Practice location:
  • Phone: 973-327-7800
  • Fax: 973-678-6443
Mailing address:
  • Phone: 973-327-7800
  • Fax: 973-762-3731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SAMEER MALHOTRA
Title or Position: MEMBER
Credential:
Phone: 201-790-5222