Pediatric Endocrinology Associates

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

25MA10140100 Issued in NJ

Legal business name

PEDIATRIC ENDOCRINOLOGY ASSOCIATES

Practice address

2 Dean Dr Ste 2
Tenafly, NJ 07670-2870

Phone

(201) 871-4680

Fax

(201) 871-3815

NPI assigned

Jan 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Burtman, MDNPI 1679866255

Title

Doctor/Owner

Phone

(201) 871-4680

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Burtman, M.D.

  • Pediatric Endocrinology Physician
  • Tenafly, NJ
  • NPI 1679866255
  NPD (past) Authorized official
• Richard Jay Hershcopf, M.D.

  • Pediatric Endocrinology Physician
  • Tenafly, NJ
  • NPI 1881647063
  NPD (past)

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1770090037",
    "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": "076702870",
            "telephone_number": "201-871-4680",
            "fax_number": "201-871-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ENDOCRINOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "BURTMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "201-871-4680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA10140100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC, OXFORD, AETNA, HORIZON, CIGNA, AMERIHEALTH",
            "identifier": "1679866255",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Paradis, LCSW
• Hyo Soon Park, PMHNP
• Manthan Patel, PT
• Bari Patnoi, MS, OTR/L
• Peak Performance of Union
• Penelope Chang DDS PC
• John Paulo Canlubo Penetrante, PMHNP-C
• Bianca S Pereira, PT
• Alyson Perna
• Sophia Perrothers, M.S.ED., CCC-SLP

• Medical Specialty Clinic/Center in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.