Active NPI
Elizabeth Burtman, M.D.
- Pediatric Endocrinology Physician
- Tenafly, NJ
National Provider Identifier
1679866255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 25MA10140100
- Practice address
- 2 Dean Dr Ste 2
Tenafly, NJ 07670 - Phone
- (201) 871-4680
- Fax
- (201) 871-3815
- NPI assigned
- May 16, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA10140100 | NJ | |
| Pediatric Endocrinology Physician | 2080P0205X | 25MA10140100 | NJ | Primary |
Addresses
Primary practice location
2 Dean Dr Ste 2
Tenafly, NJ 07670
Mailing address
2 Dean Dr Ste 2
Tenafly, NJ 07670-2870
Phone (201) 871-4680
Other practice location 1
26901 76th Ave
New Hyde Park, NY 11040-1433
Phone (516) 884-8094
Other practice location 2
26901 76th Ave
New Hyde Park, NY 11040-1433
Phone (516) 884-8094
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10140100 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Endocrinology Associates | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/17393/brand/1/csg/1/fhir/r4
- elizabeth.burtman.1@17393.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- Tenafly, NJ
- NPI 1770090037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1679866255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 DEAN DR STE 2",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076702870",
"telephone_number": "201-871-4680",
"fax_number": "201-871-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 DEAN DR STE 2",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "07670",
"telephone_number": "201-871-4680",
"fax_number": "201-871-3815"
}
],
"practiceLocations": [
{
"address_1": "26901 76th Ave",
"address_purpose": "LOCATION",
"city": "New Hyde Park",
"state": "NY",
"postal_code": "110401433",
"country_code": "US",
"telephone_number": "516-884-8094",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26901 76th Ave",
"address_purpose": "LOCATION",
"city": "New Hyde Park",
"state": "NY",
"postal_code": "110401433",
"country_code": "US",
"telephone_number": "516-884-8094",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURTMAN",
"first_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-16",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA10140100",
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "NJ",
"license": "25MA10140100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tenafly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.