Paula M Bortnichak, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA04744500 Issued in NJ

Practice address

51 South St
Morristown, NJ 07960-8106

Phone

(201) 919-8068

NPI assigned

Jul 2, 2008

Last updated

Jul 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 4, 2014 through Dec 4, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1326200106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 OCEAN AVE N",
            "address_2": "C13",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077407589",
            "telephone_number": "201-919-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SOUTH ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079608106",
            "telephone_number": "201-919-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTNICHAK",
        "first_name": "PAULA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NJ",
            "license": "25MA04744500",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA04744500",
            "primary": true
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "NJ",
            "license": "25MA04744500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie B Kazam, MD, PA
• Samantha Alexis Bontempo
• Deborah Y Booth, PHARMD/RPH
• Jessie Borer, DNP, APN
• Dajana Borova, DO
• Edith J Boschen, NP-C
• Cheryl Boss, PA
• Kerri A. Bossardet-West, LCSW
• Julia Botvinov
• Lauren Boulay

• Psychiatry Physician in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.