Active NPIIndividual providerSole proprietor

Ms. Elyse Marie Elisano

Social Worker in Old Tappan, New Jersey

NPI Number1275124786
Practice location
180 Old Tappan RD Bldg 32ND, Old Tappan, NJ 07675-7052
Fax
201-345-7121
Last updated
January 27, 2021

Elyse Marie Elisano is a Social Worker based in Old Tappan, NJ. Elyse Marie Elisano practices in Old Tappan, NJ. The NPI Number for Elyse Marie Elisano is 1275124786 and holds a License No. 44SL05994800 (NJ). The current practice location address for Elyse Marie Elisano is 180 Old Tappan RD Bldg 32ND, Old Tappan, NJ 07675-7052 and can be reached out via phone at 201-995-1004 and via fax at 201-345-7121.

Provider Profile Details

NPI Number
1275124786
Provider Name
Elyse Marie Elisano
Provider Entity Type
Individual
Gender
Female
Address
180 Old Tappan RD Bldg 32ND, Old Tappan, NJ 07675-7052
Phone Number
201-995-1004
Fax Number
201-345-7121
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 27, 2021
Last Update Date
January 27, 2021
Certification Date
January 27, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 Old Tappan RD Bldg 32ND
Old Tappan, NJ 07675-7052
Zip
07675-7052
Phone Number
201-995-1004
Fax Number
201-345-7121
Old Tappan, NJ 07675Get directions →

Provider Business Mailing Address Details

Address
101 Willow Dr
Old Tappan, NJ 07675-6833
City
Old Tappan
State
NJ
Zip
07675-6833
Phone Number
551-579-9210

License Information

License Number
44SL05994800
License State
NJ
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Elyse Marie Elisano?

The NPI number of Ms. Elyse Marie Elisano is 1275124786. It was assigned on January 27, 2021 and is currently active in the NPPES registry.

What is the specialty of Ms. Elyse Marie Elisano?

Ms. Elyse Marie Elisano is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SL05994800.

Where does Ms. Elyse Marie Elisano practice?

The practice location is 180 Old Tappan RD Bldg 32ND, Old Tappan, NJ 07675-7052. The office can be reached at 201-995-1004 (phone) or 201-345-7121 (fax).

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 1275124786 directly on the NPPES registry website.

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