MEDICARE: ELITE SCREENERS

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
1	261QU0200X	Urgent Care Clinic/Center
2	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1508700931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE SCREENERS

Provider Business Mailing Address
First Line	:	95 E MAIN ST STE 102
Second Line	:
City	:	DENVILLE
State	:	NJ
Zip	:	07834-2158
Country	:	US
Telephone Number	:	973-348-5522
Fax Number	:	973-547-1353

Provider Business Practice Location Address
First Line	:	95 E MAIN ST STE 102
Second Line	:
City	:	DENVILLE
State	:	NJ
Zip	:	07834-2158
Country	:	US
Telephone Number	:	973-348-5522
Fax Number	:	973-547-1353

Authorized Official
Title or Position	:	OWNER
Name	:	HAMIDA YAQOOBI
Credential	:	FNP
Telephone Number	:	973-348-5522

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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Directions to “ELITE SCREENERS ” Practice Location

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