Provider Demographics
NPI:1801908751
Name:YOUNES, ELIE (MD)
Entity type:Individual
Prefix:DR
First Name:ELIE
Middle Name:
Last Name:YOUNES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1145 BORDENTOWN AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-1851
Mailing Address - Country:US
Mailing Address - Phone:732-727-5371
Mailing Address - Fax:732-727-1391
Practice Address - Street 1:1145 BORDENTOWN AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-1851
Practice Address - Country:US
Practice Address - Phone:732-727-5371
Practice Address - Fax:732-727-1391
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA35882207R00000X, 207RC0000X
NJ35882207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ445311Medicare PIN
D18847Medicare UPIN