Individual provider Active NPI

Elizabeth Burtman, M.D.

  • Pediatric Endocrinology Physician
  • Tenafly, NJ
National Provider Identifier
1679866255
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
25MA10140100 Issued in NJ
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

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
25MA10140100NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Endocrinology Associates Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17393/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.