Dr. Elmo Canillas, MD
Specialist in Secaucas, New Jersey
1073677555- Practice location
- 55 Meadowlands Parkway, Secaucas, NJ 07094
- Phone
- 201-819-2099
- Fax
- —
- Last updated
- April 15, 2015
Elmo Canillas is a Specialist based in Secaucas, NJ. Elmo Canillas practices in Secaucas, NJ and has the professional credentials of MD. The NPI Number for Elmo Canillas is 1073677555 and holds a License No. 25MA05712700 (NJ). The current practice location address for Elmo Canillas is 55 Meadowlands Parkway, Secaucas, NJ 07094 and can be reached out via phone at 201-819-2099.
Provider Profile Details
- NPI Number
- 1073677555
- Provider Name
- Elmo Canillas
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Meadowlands Parkway, Secaucas, NJ 07094
- Phone Number
- 201-819-2099
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 20, 2006
- Last Update Date
- April 15, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Meadowlands Parkway
Secaucas, NJ 07094 - City
- Secaucas
- State
- New Jersey
- Zip
- 07094
- Phone Number
- 201-819-2099
Provider Business Mailing Address Details
- Address
- 3998 Fair Ridge Dr
Suite 300
Fairfax, VA 22033-2921 - City
- Fairfax
- State
- VA
- Zip
- 22033-2921
- Phone Number
- 703-295-9360
- Fax Number
- 703-295-9725
License Information
- License Number (1)
- 25MA05712700
- License State (1)
- NJ
- Taxonomy (1)
- Specialist · 174400000X · Primary
- License Number (2)
- 25ma05712700
- License State (2)
- NJ
- Taxonomy (2)
- Anesthesiology · 207L00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Secaucas, NJ
View all Specialists in Secaucas →Frequently Asked Questions
What is the NPI number of Dr. Elmo Canillas, MD?
The NPI number of Dr. Elmo Canillas, MD is 1073677555. It was assigned on December 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Elmo Canillas, MD?
Dr. Elmo Canillas, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA05712700.
Where does Dr. Elmo Canillas, MD practice?
The practice location is 55 Meadowlands Parkway, Secaucas, NJ 07094. The office can be reached at 201-819-2099 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073677555 directly on the NPPES registry website.