Elaine Marie Ebbrecht, D.C.

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

1 Garret Mountain PLZ
Suite 801
Woodland Park, NJ 07424-3320

Phone

(973) 345-4111

Fax

(973) 345-4119

NPI assigned

Jun 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Neurophysiologic Interpretive Medicine PLLC

  • Neurology Physician
  • Fairfield, NJ
  • NPI 1316256167
  NPD (past)

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1508069295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TULIPWOOD DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255616",
            "telephone_number": "631-670-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GARRET MOUNTAIN PLZ",
            "address_2": "SUITE 801",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243320",
            "telephone_number": "973-345-4111",
            "fax_number": "973-345-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBRECHT",
        "first_name": "ELAINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X-010078",
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lina Isabel Diaz, RPH
• Peter F Dipaolo, M.D.
• Berenice Dominguez
• Lisa Eileen Dorner
• Danielle Doyle, APN
• Perliza Diocos Emde
• Charles Erd
• Eyecare Consultants of NJ, PA.
• Faith Medical Services LLC
• Family Values Counseling LLC

• Electroneurodiagnostic Specialist/Technologist in Woodland Park, NJ
• Providers in Woodland Park, NJ by specialty
• Electroneurodiagnostic Specialist/Technologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.