Individual provider Active NPI

Elizabth Anne Bilotti, APN-BC

  • Adult Health Nurse Practitioner
  • Hackensack, NJ
National Provider Identifier
1013056209
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00170900 Issued in NJ
Practice address
20 Prospect Ave
The Cancer Center at Hackensack University Medical Ctr.
Hackensack, NJ 07601-1997
Phone
(201) 996-5900
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F370033 NY
Adult Health Nurse Practitioner 363LA2200X F304332 NY
Adult Health Nurse Practitioner 363LA2200X 26NJ00170900 NJ Primary

Addresses

Primary practice location

20 Prospect Ave
The Cancer Center at Hackensack University Medical Ctr.
Hackensack, NJ 07601-1997

Mailing address

166 W 72ND St
Apt. 2a
New York, NY 10023-3303
Phone (631) 839-8171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F370033NYMDNurse Practitioner
26NJ00170900NJMDAdult Health Nurse Practitioner
F304332NYMDAdult Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1013056209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 W 72ND ST",
            "address_2": "APT. 2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233303",
            "telephone_number": "631-839-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "THE CANCER CENTER AT HACKENSACK UNIVERSITY MEDICAL CTR.",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-996-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILOTTI",
        "first_name": "ELIZABTH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F370033",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F304332",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00170900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.