DR. ELMO CANILLAS (NPI# 1073677555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073677555 |
| Entity Type | Individual |
| Full Name | DR. ELMO CANILLAS |
| Credential | M.D. |
| Practice Address |
55 Meadowlands Parkway Secaucas NJ 07094 |
| Mailing Address |
3998 Fair Ridge Dr Suite 300 Fairfax VA 22033-2921 |
| Practice Telephone | 2018192099 |
| Mailing Telephone | 7032959360 |
| Mailing Fax Number | 7032959725 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2015-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25MA05712700 | NJ | Other Service Providers |
| N | 207L00000X | Anesthesiology | 25MA05712700 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | RAILROAD MEDICARE | P01281145 | 01 |
| NJ | 5102502 | 05 |
| Street Address |
55 MEADOWLANDS PARKWAY |
| City | SECAUCAS |
| State | NJ |
| Zip Code | 07094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629626163 | Meadowlands Pharmacy LLC | Pharmacy | 40, Meadowlands Pkway, Secaucus, NJ 07094 | 2019-08-28 |
| 1639625916 | Monika Patel | Dentist | 87 Huber St, Secacus, NJ 07094 | 2016-08-28 |
| 1366830820 | Morgan & Associates | Allergy & Immunology | 400 Park Place, Secaucus, NJ 07094 | 2015-01-06 |
| 1619267697 | Maria Lourdes D. Aguilera | Clinic/Center | 5301 Broadway Avenue, West New York, NJ 07094 | 2011-04-12 |
| 1154626117 | Robert W. Boyajian, Md, Pa | Internal Medicine | 255 Route 3 East Suite 203, Secaucus, NJ 07094 | 2011-01-21 |
| 1902071731 | Joseph D. Scalia | Surgery | 714-10th Street, Secaucus, NJ 07094 | 2008-04-23 |
| 1477764884 | Atlantis Health and Wellness PC | Chiropractor | 600 Plaza Dr, Harmon Meadow Plaza, Secaucus, NJ 07094 | 2007-05-25 |
| 1265558589 | Occupational Health Centers of New Jersey, P.a. | Clinic/Center | 30 Seaview Drive, Secaucus, NJ 07094 | 2007-03-21 |
| 1699899666 | Armando Ivan Martinez | Orthopaedic Surgery | 405 County Avenue, Secaucus, NJ 07094 | 2007-03-16 |
| 1457498768 | Nimer M Iskandarani | Psychiatry & Neurology | 255 Rt 3 East, Suite 209, Secaucus, NJ 07094 | 2007-01-30 |
| Find all providers in zip 07094 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817356 | Erica Strubbe-montalvo | Specialist | 135 Larch Ave, Bogota, NJ 07603-1504 | 2020-10-08 |
| 1154937076 | Ines P Serna | Specialist | 7312 Kiesel Pl, North Bergen, NJ 07047-4033 | 2020-09-16 |
| 1568077238 | Michelle Horowitz-firestone | Specialist | 5 Whitman Ter, Long Branch, NJ 07740-9310 | 2020-09-10 |
| 1811509946 | Iris Devaughn | Specialist | 218 High St Apt 6, Burlington City, NJ 08016-4420 | 2020-08-19 |
| 1083223572 | Enlyv Clinics | Specialist | 908 Oak Tree Ave Ste R, South Plainfield, NJ 07080-5135 | 2020-07-30 |
| 1235748971 | North Jersey Sports Medicine & Orthopedic Center, LLC | Specialist | 254b Mountain Ave Ste 201, Hackettstown, NJ 07840-2413 | 2020-07-29 |
| 1255958864 | Tiffany Nicole Pierce | Specialist | 730 Newark Ave Apt 12d, Jersey City, NJ 07306-2816 | 2020-06-30 |
| 1699391557 | Brojan Franchising Inc | Specialist | 76 Highland Trl, Denville, NJ 07834-2033 | 2020-06-17 |
| 1487274288 | Kyle Everage | Specialist | 129 Passaic Ave # 201, Kearny, NJ 07032-1105 | 2020-04-21 |
| 1548880644 | Michal Lasowsky | Specialist | 1 Idaho St, Passaic, NJ 07055-3336 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.