Provider Demographics
NPI:1831949940
Name:ELEVATE MEDICAL COLLECTIVE LLC
Entity type:Organization
Organization Name:ELEVATE MEDICAL COLLECTIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBROW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:551-284-3433
Mailing Address - Street 1:18 W RIDGEWOOD AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2333
Mailing Address - Country:US
Mailing Address - Phone:551-284-3433
Mailing Address - Fax:551-284-3434
Practice Address - Street 1:18 W RIDGEWOOD AVE STE 2
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2333
Practice Address - Country:US
Practice Address - Phone:551-284-3433
Practice Address - Fax:551-284-3434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty