Provider Demographics
NPI:1134092323
Name:ELMERA, PIERRE ANDRE JUNIOR (CRNA/AGACNP-BC)
Entity type:Individual
Prefix:
First Name:PIERRE ANDRE
Middle Name:JUNIOR
Last Name:ELMERA
Suffix:
Gender:M
Credentials:CRNA/AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1161 E HENRY ST
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-2057
Mailing Address - Country:US
Mailing Address - Phone:516-350-8049
Mailing Address - Fax:
Practice Address - Street 1:1161 E HENRY ST
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-2057
Practice Address - Country:US
Practice Address - Phone:516-350-8049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY433423363LA2100X
NY730175367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care