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DR. ELMO CANILLAS M.D.
NPI 1073677555
Specialist in Secaucas, NJ

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment
55 MEADOWLANDS PARKWAY, SECAUCAS, NJ 07094(201) 819-2099 Get Directions Write a Review

NPPES record last updated: April 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Elmo Canillas M.d. NPPES

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

DR. ELMO CANILLAS M.D. (NPI 1073677555) is an individual specialist in Secaucas, New Jersey, licensed in New Jersey (25MA05712700) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1073677555
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. ELMO CANILLASCredential: M.D.
Location Address55 MEADOWLANDS PARKWAYSecaucas, NJ 07094
Mailing Address3998 Fair Ridge Dr, Suite 300Fairfax, VA 22033-2921 · (703) 295-9360 · Fax (703) 295-9725
Phone(201) 819-2099
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateDecember 20, 2006
Last NPPES UpdateApril 15, 2015
✔ NPI 1073677555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 25MA05712700
Definition
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.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 25MA05712700 (NJ)
55 MEADOWLANDS PARKWAY, Secaucas, NJ 07094
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Other Identifiers 3

Medicare PIN033646NJ
OtherP01281145NJ · Railroad Medicare
Medicaid5102502NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Elmo Canillas M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820262702
PECOS Enrollment IDI20111111000444
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

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

S & V SERVICES OF NJ, INC
Pharmacy (Community/Retail Pharmacy)
55 MEADOWLANDS PARKWAY
SECAUCUS, NJ 07094
Hudson County (201) 235-6700
DR. LIZA JEANNE ENRIQUEZ-LEFF M.D.
Anesthesiology
55 MEADOWLANDS PARKWAY
SECAUCUS, NJ 07094
Hudson County (201) 819-2099

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 Elmo Canillas's NPI number?

The NPI number for Elmo Canillas is 1073677555. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Elmo Canillas located?

Elmo Canillas practices at 55 Meadowlands Parkway, Secaucas, NJ 07094. The listed phone number is (201) 819-2099.

What is Elmo Canillas's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Elmo Canillas enrolled in Medicare?

Yes. Elmo Canillas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Elmo Canillas was last updated on April 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.