Provider Demographics
NPI:1609808807
Name:KAPCHITS, ELMIRA (MD)
Entity Type:Individual
Prefix:
First Name:ELMIRA
Middle Name:
Last Name:KAPCHITS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 BROOKFALL RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2946
Mailing Address - Country:US
Mailing Address - Phone:732-393-0669
Mailing Address - Fax:732-393-0669
Practice Address - Street 1:45 BROOKFALL RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2946
Practice Address - Country:US
Practice Address - Phone:732-393-0669
Practice Address - Fax:732-393-0669
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06998400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2459273OtherUNITED HEALTH
NJ9547469OtherCIGNA
NJ2407148001OtherAMERI HEALTH
NJ8082405Medicaid
NJ40635OtherUHP
NJ60013957OtherHORIZON NJ HEALTH
NJ7089540OtherAETNA
NJ8220981OtherGHI
NJHO6890Medicare UPIN
NJ033163Medicare ID - Type Unspecified