Active NPI
Eva Broadfoot
- Diagnostic Ultrasound Physician
- Clifton, NJ
National Provider Identifier
1740714658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 152597
- Practice address
- 19 Hamilton Ave
Clifton, NJ 07011-1219 - Phone
- (201) 725-3154
- NPI assigned
- Apr 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Technician | 374700000X | |||
| Diagnostic Ultrasound Physician | 2085U0001X | 152597 | NJ | Primary |
Addresses
Primary practice location
19 Hamilton Ave
Clifton, NJ 07011-1219
Mailing address
19 Hamilton Ave
Clifton, NJ 07011-1219
Phone (201) 725-3154
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152597 | NJ | MD | Sonography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517270400000",
"number": "1740714658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 HAMILTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070111219",
"telephone_number": "201-725-3154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 HAMILTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070111219",
"telephone_number": "201-725-3154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROADFOOT",
"first_name": "EVA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2018-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NJ",
"license": "152597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.