Individual provider Active NPI

Ella Doctoroff, D.O.

  • Family Medicine Physician
  • Belle Mead, NJ
National Provider Identifier
1790941433
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB08003700 Issued in NJ
Practice address
252 County Road 601
Belle Mead, NJ 08502-3923
Phone
(201) 650-8790
NPI assigned
Aug 1, 2008
Last updated
Dec 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB08003700 NJ Primary

Addresses

Primary practice location

252 County Road 601
Belle Mead, NJ 08502-3923

Mailing address

57 Glendale Ave
Livingston, NJ 07039-2309
Phone (201) 650-8790

Other identifiers 1

IdentifierTypeStateIssuer
0182222MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20090422000596 NJ Practitioner - Family Practice 6800944299 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of New Jersey Omb Centralized PayrollGroup PAC ID 6406742592, shared by 9 NPIs, 129 clinicians

Practice addresses (Care Compare)

100 Sullivan Way
Trenton, NJ 08625-0500
Phone (609) 633-1562

252 Route 601
Belle Mead, NJ 08502-3923
Phone (908) 281-1000

59 Koch Ave
Morris Plains, NJ 07950-4400
Phone (973) 538-1800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08003700NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HMH Carrier Behavioral Health Inc CurrentSince Nov 15, 2008 Accepting new patients
HMH Carrier Behavioral Health Inc CurrentSince Nov 15, 2008 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Oct 9, 2022 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Oct 9, 2022 Accepting new patients

Locations

252 Route 601
Belle Mead, NJ 08502
Phone (800) 379-1949

59 Koch Ave
Morris Plains, NJ 07950
Phone (973) 889-4390

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1790941433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 GLENDALE AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392309",
            "telephone_number": "201-650-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 COUNTY ROAD 601",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085023923",
            "telephone_number": "201-650-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCTOROFF",
        "first_name": "ELLA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08003700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0182222",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Mead, NJ

Sources for this page

Verify at the official NPI Registry.