Dr. Ellen M Black, MD
Internal Medicine in Bayonne, New Jersey
1164594735- Practice location
- 273 Avenue A, Bayonne, NJ 07002-1367
- Phone
- 201-858-0800
- Fax
- 201-858-3367
- Last updated
- July 8, 2007
Ellen M Black is an Internal Medicine based in Bayonne, NJ. Ellen M Black practices in Bayonne, NJ and has the professional credentials of MD. The NPI Number for Ellen M Black is 1164594735 and holds a License No. MA043128 (NJ). The current practice location address for Ellen M Black is 273 Avenue A, Bayonne, NJ 07002-1367 and can be reached out via phone at 201-858-0800 and via fax at 201-858-3367.
Provider Profile Details
- NPI Number
- 1164594735
- Provider Name
- Ellen M Black
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 273 Avenue A, Bayonne, NJ 07002-1367
- Phone Number
- 201-858-0800
- Fax Number
- 201-858-3367
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 15, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 273 Avenue A
Bayonne, NJ 07002-1367 - City
- Bayonne
- State
- New Jersey
- Zip
- 07002-1367
- Phone Number
- 201-858-0800
- Fax Number
- 201-858-3367
Provider Business Mailing Address Details
- Address
- 273 Avenue A
Bayonne, NJ 07002-1367 - City
- Bayonne
- State
- NJ
- Zip
- 07002-1367
- Phone Number
- 201-858-0800
- Fax Number
- 201-858-3367
License Information
- License Number
- MA043128
- License State
- NJ
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Ellen M Black, MD?
The NPI number of Dr. Ellen M Black, MD is 1164594735. It was assigned on November 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Ellen M Black, MD?
Dr. Ellen M Black, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA043128.
Where does Dr. Ellen M Black, MD practice?
The practice location is 273 Avenue A, Bayonne, NJ 07002-1367. The office can be reached at 201-858-0800 (phone) or 201-858-3367 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164594735 directly on the NPPES registry website.