Individual provider Active NPI

Alla Erlikhman, MD

  • Pediatrics Physician
  • Bernardsville, NJ
National Provider Identifier
1871827501
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08539200 Issued in NJ
Practice address
169 Mine Brook Rd
Bernardsville, NJ 07924-2125
Phone
(908) 766-0034
Fax
(908) 766-4387
NPI assigned
Sep 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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 25MA08539200 NJ Primary

Addresses

Primary practice location

169 Mine Brook Rd
Bernardsville, NJ 07924-2125

Mailing address

169 Mine Brook Rd
Bernardsville, NJ 07924-2125
Phone (908) 766-0034

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
I20091028000588 NJ Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 3971640616 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, LLC CurrentSince Dec 1, 2019 Accepting new patients
Primary Care Partners, LLC Pediatrics Current Accepting new patients
Primary Care Partners, LLC CurrentSince Dec 1, 2019 Accepting new patients
Primary Care Partners LLC Pediatrics Past Accepting new patients

Locations

2003 Washington Valley Rd
Martinsville, NJ 08836
Phone (732) 868-1100

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

475 South St
Morristown, NJ 07960
Phone (973) 660-3166

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1871827501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MINE BROOK RD",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242125",
            "telephone_number": "908-766-0034",
            "fax_number": "908-766-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MINE BROOK RD",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242125",
            "telephone_number": "908-766-0034",
            "fax_number": "908-766-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERLIKHMAN",
        "first_name": "ALLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08539200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bernardsville, NJ

Sources for this page

Verify at the official NPI Registry.