Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Concierge Medicine LLC

Organization Internal Medicine Physician · NPI 1548087844

Elite Concierge Medicine LLC is an Internal Medicine Physician in West Orange, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

414 Eagle Rock Ave Ste 105
West Orange, NJ 07052-4229
Phone: (973) 736-1365
Fax: (973) 736-1366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1548087844
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamie Baux-Johnson — Owner · (973) 736-1365
NPI enumeratedSeptember 26, 2024
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address414 Eagle Rock Ave Ste 105, West Orange, NJ 07052-4229

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