Provider Demographics
NPI:1801113246
Name:ARATEN, ELAN (DPT)
Entity type:Individual
Prefix:DR
First Name:ELAN
Middle Name:
Last Name:ARATEN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 EAGLE ROCK AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-4229
Mailing Address - Country:US
Mailing Address - Phone:973-731-7877
Mailing Address - Fax:973-731-6332
Practice Address - Street 1:414 EAGLE ROCK AVE STE 107
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-4229
Practice Address - Country:US
Practice Address - Phone:973-731-7877
Practice Address - Fax:973-731-6332
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2022-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01351300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist