DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. ELOHOR ELLIE OTITE MD

MEDICARE: DR. ELOHOR ELLIE OTITE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program25MA12636200NJ
22084P0800XPsychiatry Physician25MA12636200NJ

General Provider Information

NPI Number : 1235872722
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELOHOR ELLIE OTITE MD
Provider Business Mailing Address
First Line : 425 JACK MARTIN BLVD
Second Line :
City : BRICK
State : NJ
Zip : 08724-7732
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 425 JACK MARTIN BLVD
Second Line :
City : BRICK
State : NJ
Zip : 08724-7732
Country : US
Telephone Number : 443-929-7030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2022
Last Update Date : 06/02/2026

Similar Medicare Providers

1346629334 — ARTUR IVCHENKO
Practice Location Address:
425 JACK MARTIN BLVD
BRICK, NJ
08724-7732
Practice Phone: 732-840-2200
Practice Fax:
1710509302 — HARSH PANKAJBHAI PATEL MD
Practice Location Address:
425 JACK MARTIN BLVD
BRICK, NJ
08724-7732
Practice Phone: 732-840-2200
Practice Fax:
1114859659 — ENA BESIC
Practice Location Address:
425 JACK MARTIN BLVD
BRICK, NJ
08724-7732
Practice Phone: 732-840-3330
Practice Fax:
1558293092 — ROSEMARIE DIGREGORIO
Practice Location Address:
425 JACK MARTIN BLVD
BRICK, NJ
08724-7732
Practice Phone: 732-840-2200
Practice Fax:
1437845047 — MICHELLE ZHANG
Practice Location Address:
425 JACK MARTIN BLVD
BRICK, NJ
08724-7732
Practice Phone: 732-840-2200
Practice Fax:
1780686741 — SHORE RADIATION ONCOLOGY, LLC.
Practice Location Address:
425 JACK MARTIN BLVD
BRICK, NJ
08724-7732
Practice Phone: 732-836-4130
Practice Fax: 732-836-4036

Directions to “ DR. ELOHOR ELLIE OTITE MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.