Provider Demographics
NPI:1508930298
Name:ELFANT, ADAM B (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:B
Last Name:ELFANT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:501 FELLOWSHIP RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-3419
Mailing Address - Country:US
Mailing Address - Phone:856-642-2133
Mailing Address - Fax:856-642-2134
Practice Address - Street 1:501 FELLOWSHIP RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-3419
Practice Address - Country:US
Practice Address - Phone:856-642-2133
Practice Address - Fax:856-642-2134
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2016-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA55617207RG0100X
DEMD4540207RG0100X
PAMD056201L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0514012OtherAETNA
1021674OtherHORIZON NJ HEALTH
110104030OtherRAIL ROAD MEDICARE
784860OtherAMERIHEALTH PPO
DE1000034777Medicaid
13558OtherUNIVERSITY HEALTH PLAN
3643291OtherAETNA US-HEALTHCARE
G01766C03OtherDELAWARE MEDICARE
P370138OtherOXFORD HEALTH PLAN
0809896000OtherAMERIHEALTH, HMO, KEYSTONE, IBC
2352993000OtherAMERIHEALTH OF DE
3K6074OtherHEALTHNET
NJ6574505Medicaid
010003877 00OtherAMERICHOICE
1678781OtherAMERIHEALTH PPO OF DE
1756340OtherUNITED HEALTH CARE
2352993000OtherAMERIHEALTH OF DE
G04924Medicare UPIN