# EXCELSIOR SERVICES GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003413311
- **Authorized official:** MONICA ELKESHK FNP-BC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (917) 463-6166

## Contact information

- **Practice address:** 415 MAIN AVE, WOOD RIDGE, NJ 07075-2055
- **Practice address phone:** (917) 463-6166
- **Mailing address:** 415 MAIN AVE, WOOD RIDGE, NJ 07075-2055
- **Mailing address phone:** (917) 463-6166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2020
- **Last updated:** 05/01/2026