Individual provider Active NPI

Ellen C Putter, MD

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1780647487
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
192278 Issued in NY
Practice address
20 Plaza St E
Apt A7
Brooklyn, NY 11238-4955
Phone
(718) 857-5500
Fax
(718) 857-5533
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 192278 NY Primary

Addresses

Primary practice location

20 Plaza St E
Apt A7
Brooklyn, NY 11238-4955

Mailing address

20 Plaza St E
Apt A7
Brooklyn, NY 11238-4955
Phone (718) 857-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251216005036 NY Practitioner - Pediatric Medicine 3779078811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
State University of New York Downstate Medical Center, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 Hicksville Rd
Bethpage, NY 11714-3471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
192278NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Pediatrics CurrentSince Feb 1, 2026 Accepting new patients
New York University CurrentSince Feb 1, 2026 Accepting new patients
Pediatric Associates of Nyc Pediatrics Past Accepting new patients

Locations

20 Plaza St E
Brooklyn, NY 11238
Phone (718) 622-5800

20 Plaza St E
Ste A7
Brooklyn, NY 11238
Phone (718) 857-5500

317 E 34th St
New York, NY 10016
Phone (212) 263-9741

317 E 34th St
Fl 3
New York, NY 10016
Phone (212) 725-6300

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Interoperability endpoints

  • Direct secure messaging: eputter44073@nyumc.direct-ci.com

Organizations & group practices 3

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780647487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PLAZA ST E",
            "address_2": "APT A7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384955",
            "telephone_number": "718-857-5500",
            "fax_number": "718-857-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PLAZA ST E",
            "address_2": "APT A7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384955",
            "telephone_number": "718-857-5500",
            "fax_number": "718-857-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTTER",
        "first_name": "ELLEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "192278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.