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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235872722

Dr. Elohor Ellie Otite, MD is a Student in an Organized Health Care Education/Training Program in Brick, New Jersey. Practices as a sole proprietor and works from 2 locations. Licensed in New Jersey and Pennsylvania.

Licensed in
NJ, PA
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone: (443) 929-7030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4641 E Roosevelt Blvd, Philadelphia, PA 19124-2343 — (215) 831-4057

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 25MA12636200 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 25MA12636200 (NJ)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD493267 (PA)

Record details

NPI number1235872722
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 14, 2022
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

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