DR. ELMO CANILLAS M.D. NPI 1073677555

NPI Information

  • NPI: 1073677555
  • Provider Name: DR. ELMO CANILLAS, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 55 MEADOWLANDS PARKWAY
    SECAUCAS, NJ
    ZIP 07094
  • Phone: (201) 819-2099

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NPI Details

DR. Elmo Canillas, M.D. is a specialist in Secaucas, NJ. The provider is 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. DR. Elmo Canillas, M.D. NPI is 1073677555. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 MEADOWLANDS PARKWAY
SECAUCAS, NJ
ZIP 07094
Phone: (201) 819-2099

The NPI 1073677555 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS:00731)
  • Spinal fusion (HCPCS:NAN02)
  • Colonoscopy (HCPCS:NAN13)

The enumeration date for this NPI number is 12/20/2006 and was last updated on 4/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology25MA05712700NEW JERSEYNo
2174400000XSpecialist25MA05712700NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1033646MEDICARE PINNEW JERSEY
2P01281145OTHERNEW JERSEYRAILROAD MEDICARE
35102502MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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