Individual provider Active NPI

Clifford Jay Butterman, MD

  • Pediatrics Physician
  • West New York, NJ
National Provider Identifier
1104984749
Registry record updated Jan 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA05169700 Issued in NJ
Practice address
228 60TH St
West New York, NJ 07093-5845
Phone
(201) 868-1120
Fax
(201) 868-5801
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA05169700 NJ Primary

Addresses

Primary practice location

228 60TH St
West New York, NJ 07093-5845

Mailing address

228 60TH St
West New York, NJ 07093-5845
Phone (201) 868-1120

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05169700NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
Louis Goyco MD, PC Pediatrics Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: clifford.butterman@direct.hobokenumc.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454112000000",
    "number": "1104984749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935845",
            "telephone_number": "201-868-1120",
            "fax_number": "201-868-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935845",
            "telephone_number": "201-868-1120",
            "fax_number": "201-868-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERMAN",
        "first_name": "CLIFFORD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA05169700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2016; 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.