Individual provider Active NPI

Diane Bruzzi-Ehrlich, MD

  • Family Medicine Physician
  • Edison, NJ
National Provider Identifier
1912935875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA04637200 Issued in NJ
Practice address
1103 Inman Ave
Medicenter of Edison
Edison, NJ 08820
Phone
(908) 769-9494
Fax
(908) 755-3833
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 25MA04637200 NJ Primary

Addresses

Primary practice location

1103 Inman Ave
Medicenter of Edison
Edison, NJ 08820

Mailing address

1103 Inman Ave
Medicenter of Edison
Edison, NJ 08820
Phone (908) 769-9494

Other names 1

  • Diane Bruzzi-Ehrlich Other name

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

LicenseStateTypeSpecialty
25MA04637200NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dhillon Spine Specialists, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: diane.ehrlich@urgentcareofedison.ehi.direct-ci.com

Organizations & group practices 1

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912935875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 INMAN AVE",
            "address_2": "MEDICENTER OF EDISON",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "908-769-9494",
            "fax_number": "908-755-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 INMAN AVE",
            "address_2": "MEDICENTER OF EDISON",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "908-769-9494",
            "fax_number": "908-755-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUZZI-EHRLICH",
        "first_name": "DIANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA04637200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "BRUZZI-EHRLICH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.