MEDICARE: DR. CHARLES ELIAS DO

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	207N00000X	Dermatology Physician	25MB10441400	NJ

General Provider Information

NPI Number	:	1710378690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES ELIAS DO

Provider Business Mailing Address
First Line	:	347 MOUNT PLEASANT AVE STE 103
Second Line	:
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-2745
Country	:	US
Telephone Number	:	973-571-2121
Fax Number	:

Provider Business Practice Location Address
First Line	:	347 MOUNT PLEASANT AVE STE 103
Second Line	:
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-2745
Country	:	US
Telephone Number	:	973-571-2121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2015
Last Update Date	:	01/18/2020

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1376425249 — MS. GABRIELA DOMINGUEZ PA-C
Practice Location Address:

347 MOUNT PLEASANT AVE STE 103
WEST ORANGE, NJ
07052-2745

Practice Phone: 973-434-1426
Practice Fax: 973-498-0535

1417191917 — DR. MAHIR PATEL M.D.
Practice Location Address:

347 MOUNT PLEASANT AVE STE 103
WEST ORANGE, NJ
07052-2745

Practice Phone: 973-571-2121
Practice Fax:

1568772093 — MIMI OLIFF PA-C
Practice Location Address:

347 MOUNT PLEASANT AVE STE 103
WEST ORANGE, NJ
07052-2745

Practice Phone: 973-571-2121
Practice Fax:

1912412446 — NJ ENDOVASCULAR & AMPUTATION PREVENTION LLC
Practice Location Address:

347 MOUNT PLEASANT AVE STE 100
WEST ORANGE, NJ
07052-2745

Practice Phone: 973-419-6315
Practice Fax: 973-233-5642

Directions to “ DR. CHARLES ELIAS DO” 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.