Provider Demographics
NPI:1720712813
Name:NJ ELITE CARE SERVICES
Entity Type:Organization
Organization Name:NJ ELITE CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMADI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:973-234-9451
Mailing Address - Street 1:433 MOUNT HOPE RD
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07885-2813
Mailing Address - Country:US
Mailing Address - Phone:973-234-9451
Mailing Address - Fax:732-414-7707
Practice Address - Street 1:433 MOUNT HOPE RD
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:NJ
Practice Address - Zip Code:07885-2813
Practice Address - Country:US
Practice Address - Phone:973-234-9451
Practice Address - Fax:732-414-7707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company