Active NPIIndividual provider

Ellen C Ebert, MD

Specialist in Somerset, New Jersey

NPI Number1477635522
Practice location
17 Clyde RD, Somerset, NJ 08873-5041
Fax
732-873-1606
Last updated
September 24, 2013

Ellen C Ebert is a Specialist based in Somerset, NJ. Ellen C Ebert practices in Somerset, NJ and has the professional credentials of MD. The NPI Number for Ellen C Ebert is 1477635522 and holds a License No. MA04369900 (NJ). The current practice location address for Ellen C Ebert is 17 Clyde RD, Somerset, NJ 08873-5041 and can be reached out via phone at 732-873-1600 and via fax at 732-873-1606.

Provider Profile Details

NPI Number
1477635522
Provider Name
Ellen C Ebert
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
17 Clyde RD, Somerset, NJ 08873-5041
Phone Number
732-873-1600
Fax Number
732-873-1606
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
October 19, 2006
Last Update Date
September 24, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Clyde RD
Somerset, NJ 08873-5041
Zip
08873-5041
Phone Number
732-873-1600
Fax Number
732-873-1606
Somerset, NJ 08873Get directions →

Provider Business Mailing Address Details

Address
17 Clyde RD
Somerset, NJ 08873-5041
City
Somerset
State
NJ
Zip
08873-5041
Phone Number
732-873-1600
Fax Number
732-873-1606

License Information

License Number (1)
MA04369900
License State (1)
NJ
Taxonomy (1)
Specialist · 174400000X · Primary
License Number (2)
25MA04369900
License State (2)
NJ
Taxonomy (2)
Internal Medicine, Gastroenterology · 207RG0100X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ellen C Ebert, MD?

The NPI number of Ellen C Ebert, MD is 1477635522. It was assigned on October 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Ellen C Ebert, MD?

Ellen C Ebert, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number MA04369900.

Where does Ellen C Ebert, MD practice?

The practice location is 17 Clyde RD, Somerset, NJ 08873-5041. The office can be reached at 732-873-1600 (phone) or 732-873-1606 (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 1477635522 directly on the NPPES registry website.

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