1. Home
  2. Directory
  3. New Jersey
  4. Newark
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MS. ELENA L WICKSTROM MD
NPI 1003497470
Student in an Organized Health Care Education/Training Program in Newark, NJ

Active since April 17, 2021
185 S ORANGE AVE, NEWARK, NJ 07103(732) 445-4636 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Elena L Wickstrom Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ELENA L WICKSTROM MD (NPI 1003497470) is an individual student in an organized health care education/training program in Newark, New Jersey and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1003497470
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. ELENA L WICKSTROMCredential: MD
Location Address185 S ORANGE AVENewark, NJ 07103-2757
Mailing Address185 S Orange AveNewark, NJ 07103-2757 · (732) 445-4636
Phone(732) 445-4636
Sole ProprietorNo
Enumeration DateApril 17, 2021
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1003497470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
185 S ORANGE AVE, Newark, NJ 07103
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEEPA ASOKAN M.D.
Anesthesiology
185 S ORANGE AVE, MSB STE E547
NEWARK, NJ 07103
Essex County (973) 972-5006
LISSETTE MARIA CESPEDES M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
185 S ORANGE AVE, MSB I588
NEWARK, NJ 07103
Essex County (973) 972-3479
ALEXANDRA M. SELBERG
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Essex County (973) 972-5018
CHEYNYA JOHNSON-BRIMLEY PA-C
Physician Assistant (Medical)
185 S ORANGE AVE
NEWARK, NJ 07103
Essex County (848) 445-4636
KIRSYS GUERRERO FUENTES MD
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Essex County (646) 640-6429
SAGAR PATEL
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Essex County (973) 972-6049
DR. EVANIE ANGLADE MD
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Essex County (973) 972-6049
CARMA HELEN GOLDSTEIN
Surgery
185 S ORANGE AVE
NEWARK, NJ 07103
Essex County (973) 972-4417

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elena Wickstrom's NPI number?

The NPI number for Elena Wickstrom is 1003497470. It was assigned to this individual provider in the NPPES registry on April 17, 2021.

Where is Elena Wickstrom located?

Elena Wickstrom practices at 185 S Orange Ave, Newark, NJ 07103. The listed phone number is (732) 445-4636.

What is Elena Wickstrom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Elena Wickstrom was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.