Individual provider Active NPI

Erin Hilton Buettin, D.O.

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1104002203
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB12469100 Issued in NJ
Practice address
2 Journal SQ Ste E
Jersey City, NJ 07306-4006
Phone
(201) 656-2300
Fax
(201) 656-2390
NPI assigned
Jan 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102202402 VA
Internal Medicine Physician 207R00000X 308454 NY
Internal Medicine Physician 207R00000X 25MB12469100 NJ Primary

Addresses

Primary practice location

2 Journal SQ Ste E
Jersey City, NJ 07306-4006

Mailing address

2 Journal SQ Ste E
Jersey City, NJ 07306-4006
Phone (201) 656-2300

Other identifiers 4

IdentifierTypeStateIssuer
11956206OtherVAANTHEM BLUE SHIELD
C00085OtherVAMEDICARE GROUP
1104002203OtherWVMOUNTAIN STATE BLUE CROSS BLUE SHIELD
1104002203MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230308001627 NY Practitioner - Internal Medicine 6608914890 Reassigns benefits to 1 organization
I20250128002358 NJ Practitioner - Internal Medicine 6608914890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

2 Journal SQ
FL 2
Jersey City, NJ 07306-4006
Phone (201) 963-7000

Hospital & facility affiliations

  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
308454NYMDLicensed Practical Nurse
25MB12469100NJMDInternal Medicine Physician
0102202402VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Mar 3, 2025 Accepting new patients
Vocational Instruction Project Community Services, Inc. CurrentSince Oct 25, 2022 Accepting new patients
Vocational Instruction Project Community Services Inc CurrentSince Oct 25, 2022 Accepting new patients
Vocational Instruction Project Community Services Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

2 Journal Square Plz
Ste 1
Jersey City, NJ 07306
Phone (201) 894-2000

770 E 176th St
Bronx, NY 10460
Phone (718) 466-8034

770 E 176th St
Fl 2
Bronx, NY 10460
Phone (718) 583-5150

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1104002203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JOURNAL SQ STE E",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064006",
            "telephone_number": "201-656-2300",
            "fax_number": "201-656-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JOURNAL SQ STE E",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064006",
            "telephone_number": "201-656-2300",
            "fax_number": "201-656-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUETTIN",
        "first_name": "ERIN",
        "middle_name": "HILTON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102202402",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "308454",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB12469100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "11956206",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C00085",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BLUE CROSS BLUE SHIELD",
            "identifier": "1104002203",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104002203",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.