Individual provider Active NPI

Elizabeth B. Bumber, MHS, PA-C

  • Medical Physician Assistant
  • Hamilton, NJ
National Provider Identifier
1649507005
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00227600 Issued in NJ
Practice address
2501 Kuser Rd Ste 3
Hamilton, NJ 08691
Phone
(609) 896-0444
Fax
(609) 896-2617
NPI assigned
Nov 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00227600 NJ Primary

Addresses

Primary practice location

2501 Kuser Rd Ste 3
Hamilton, NJ 08691

Mailing address

2501 Kuser Rd Ste 3
Hamilton, NJ 08691-3386
Phone (609) 896-0444

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.bumber@mbortho.directbygreenway.com

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101008000488 NJ Practitioner - Physician Assistant 4587856554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

1 Hamilton Health PL
Hamilton, NJ 08690-3542
Phone (609) 586-7900

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00227600NJMDMedical Physician Assistant

Organizations & group practices 2

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": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1649507005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 KUSER RD STE 3",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086913386",
            "telephone_number": "609-896-0444",
            "fax_number": "609-896-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 KUSER RD STE 3",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08691",
            "telephone_number": "609-896-0444",
            "fax_number": "609-896-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMBER",
        "first_name": "ELIZABETH",
        "middle_name": "B.",
        "credential": "MHS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00227600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.bumber@mbortho.directbygreenway.com",
            "affiliation": "N",
            "address_1": "2501 Kuser Rd Ste 3",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.