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ELITE CONCIERGE MEDICINE LLC
NPI 1548087844
Internal Medicine in West Orange, NJ

Active since September 26, 2024CLIA 31D2225469 · Waiver
414 EAGLE ROCK AVE STE 105, WEST ORANGE, NJ 07052(973) 736-1365(973) 736-1366 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2026, May 7, 2025, Sep 26, 2024 (3 updates tracked since 2024).

About Elite Concierge Medicine Llc NPPES

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

ELITE CONCIERGE MEDICINE LLC (NPI 1548087844) is a healthcare organization registered as an internal medicine in West Orange, New Jersey and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through May 20, 2027 and lists Jamie Baux-johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1548087844
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameELITE CONCIERGE MEDICINE LLC
Location Address414 EAGLE ROCK AVE STE 105West Orange, NJ 07052-4229
Mailing Address414 Eagle Rock Ave Ste 105West Orange, NJ 07052-4229 · (973) 736-1365 · Fax (973) 736-1366
Phone(973) 736-1365
Fax(973) 736-1366
Organization SubpartNo
Authorized OfficialJamie Baux-johnsonOwner · (973) 736-1365
Enumeration DateSeptember 26, 2024
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1548087844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
414 EAGLE ROCK AVE STE 105, West Orange, NJ 07052
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2225469

Elite Concierge Medicine · West Orange, NJ
Active · expires May 20, 2027
CLIA Number31D2225469
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorJamie Baux-Johnson
Laboratory Phone(973) 736-1365
Laboratory LocationElite Concierge Medicine414 Eagle Rock Avenue Suite 105, West Orange, NJ 07052
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. JAMIE BAUX-JOHNSON MD
Internal Medicine (Critical Care Medicine)
414 EAGLE ROCK AVE STE 105
WEST ORANGE, NJ 07052
Essex County (973) 736-1365

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 Elite Concierge Medicine LLC's NPI number?

The NPI number for Elite Concierge Medicine LLC is 1548087844. It was assigned to this organization in the NPPES registry on September 26, 2024.

Where is Elite Concierge Medicine LLC located?

Elite Concierge Medicine LLC is located at 414 Eagle Rock Ave Ste 105, West Orange, NJ 07052. The listed phone number is (973) 736-1365.

What is Elite Concierge Medicine LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Elite Concierge Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2225469) is associated with this NPI, valid through May 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elite Concierge Medicine LLC was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.