Nancy Lynn Elliott, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA05164700 Issued in NJ

Practice address

37 No Fullerton Avenue
Montclair Breast Center
Montclair, NJ 07042-3426

Phone

(973) 509-1818

Fax

(973) 509-0708

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Surgical Oncology

Education

Icahn School of Medicine at Mount Sinai, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Montclair Breast Center PCGroup PAC ID 6608881602, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Montclair Breast Center PC

  • Surgery Physician
  • Montclair, NJ
  • NPI 1053367334
  Medicare reassignment Care Compare group NPD

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

• Cooperman Barnabas Medical Center Inc

  • General Acute Care Hospital
  • Livingston, NJ
  • NPI 1396857488
  Care Compare affiliation

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1508811282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 NO FULLERTON AVENUE",
            "address_2": "NANCY L ELLIOTT MD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423426",
            "telephone_number": "973-509-1818",
            "fax_number": "973-509-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 NO FULLERTON AVENUE",
            "address_2": "MONTCLAIR BREAST CENTER",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423426",
            "telephone_number": "973-509-1818",
            "fax_number": "973-509-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "NANCY",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA05164700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chidera Philippa Ekpo, MD
• Fadi A El Atat, MD
• Cherie Elfenbein, M.D.
• Elise Carman MDPC
• Elise Carman, MD, PC
• Mina Michael Elmiry, MD
• Ali Elsayed Mohammed Elsayed, M.D.
• Cherine Elysse
• Emergency Associates of Montclair LLC
• Emergent Change Counseling & Healing

• Surgery Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.