Active NPIIndividual providerSole proprietor

Ms. Ella Broytman, NP

Nurse Practitioner, Family in Fair Lawn, New Jersey

NPI Number1992340111
Practice location
24-12 Fair Lawn Ave, Fair Lawn, NJ 07410-3401
Fax
—
Last updated
June 10, 2021

Ella Broytman is a Nurse Practitioner, Family based in Fair Lawn, NJ. Ella Broytman practices in Fair Lawn, NJ and has the professional credentials of NP. The NPI Number for Ella Broytman is 1992340111 and holds a License No. 26NJ00944900 (NJ). The current practice location address for Ella Broytman is 24-12 Fair Lawn Ave, Fair Lawn, NJ 07410-3401 and can be reached out via phone at 201-797-7500.

Provider Profile Details

NPI Number
1992340111
Provider Name
Ella Broytman
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
24-12 Fair Lawn Ave, Fair Lawn, NJ 07410-3401
Phone Number
201-797-7500
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
November 12, 2019
Last Update Date
June 10, 2021
Certification Date
June 10, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
24-12 Fair Lawn Ave
Fair Lawn, NJ 07410-3401
Zip
07410-3401
Phone Number
201-797-7500
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
26-31 Warren RD Apt D
Fair Lawn, NJ 07410-3325
City
Fair Lawn
State
NJ
Zip
07410-3325
Phone Number
917-421-2863

License Information

License Number
26NJ00944900
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

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 Ms. Ella Broytman, NP?

The NPI number of Ms. Ella Broytman, NP is 1992340111. It was assigned on November 12, 2019 and is currently active in the NPPES registry.

What is the specialty of Ms. Ella Broytman, NP?

Ms. Ella Broytman, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00944900.

Where does Ms. Ella Broytman, NP practice?

The practice location is 24-12 Fair Lawn Ave, Fair Lawn, NJ 07410-3401. The office can be reached at 201-797-7500 (phone).

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 1992340111 directly on the NPPES registry website.

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