ELANGOVAN PSYCHIATRIC SERVICES LLC
NPI 1619623071
Psychiatry & Neurology - Psychiatry in West Orange, NJ

Active since February 24, 2022
470 PROSPECT AVE STE 202, WEST ORANGE, NJ 07052(973) 325-5100(973) 488-7133 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elangovan Psychiatric Services Llc NPPES

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

ELANGOVAN PSYCHIATRIC SERVICES LLC (NPI 1619623071) is a healthcare organization registered as a psychiatry in West Orange, New Jersey and active in the NPI registry since February 2022. The organization lists Judy Gerdts, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619623071
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameELANGOVAN PSYCHIATRIC SERVICES LLC
Location Address470 PROSPECT AVE STE 202West Orange, NJ 07052-4106
Mailing Address1756 Richmond AveStaten Island, NY 10314-3902 · (718) 477-5670 · Fax (973) 488-7133
Fax(973) 488-7133
Organization SubpartNo
Authorized OfficialJudy GerdtsOffice Manager · (718) 477-5670
Enumeration DateFebruary 24, 2022
NPPES CertifiedFebruary 24, 2022
✔ NPI 1619623071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
470 PROSPECT AVE STE 202, West Orange, NJ 07052

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elangovan Psychiatric Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Elangovan Psychiatric Services LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Psychiatry
NPI 1649203530
470 PROSPECT AVE STE 202
West Orange, NJ 07052
(973) 325-5100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225872062
470 PROSPECT AVE STE 202
West Orange, NJ 07052
(973) 325-5100
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1356462246
777 SEAVIEW AVE
Staten Island, NY 10305
(718) 667-2300
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1639580301
3055 3RD AVE
Bronx, NY 10451
(718) 655-1000
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1235684655
220 DAVIDSON AVE STE 407M
Somerset, NJ 08873
(732) 400-4015
✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Elangovan Psychiatric Services LLC's NPI number?

The NPI number for Elangovan Psychiatric Services LLC is 1619623071. It was assigned to this organization in the NPPES registry on February 24, 2022.

Where is Elangovan Psychiatric Services LLC located?

Elangovan Psychiatric Services LLC is located at 470 Prospect Ave Ste 202, West Orange, NJ 07052. The listed phone number is (973) 325-5100.

What is Elangovan Psychiatric Services LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Elangovan Psychiatric Services LLC enrolled in Medicare?

Yes. Elangovan Psychiatric Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elangovan Psychiatric Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Elangovan Psychiatric Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Psychiatry (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elangovan Psychiatric Services LLC was last updated on February 24, 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.