Clare Bush Addis, M.D.
Individual provider Active NPI Pediatrics Physician · Morristown, NJ
NPI 1962769794 · NPPES record last updated Jul 30, 2026
Key facts
- NPI
- 1962769794
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 25MA12967500 (NJ)
- Practice address
- 261 James St Ste 1G
Morristown, NJ 07960-6348 - Phone
- (973) 540-9393
- NPI assigned
- Apr 18, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279945 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current |
Accepting new patients | |
| Trustees of Columbia University in the City of New York | Pediatrics | Current |
Accepting new patients |
| Trustees of Columbia University in the City of New York | Pediatrics | Past | Accepting new patients |
Locations
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
Interoperability endpoints
- clb9032@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA12967500 | NJ | Yes |
Addresses
Primary practice location
261 James St Ste 1G
Morristown, NJ 07960-6348
Mailing address
105 Old Chester Rd
Essex Fells, NJ 07021-1625
Phone (228) 596-1182
Other providers in Morristown, NJ
- Robert Matthew Adamiecki
- Darius John Adams
- John M Adams
- Nadira Khalia Adams
- Lara Addesso
- Raksha Adhikari
- Akshitha Adhiyaman
- Shivani Adhyaru
- Kenneth R Adler
- Adult & Pediatric Urology Group PA
All providers in Morristown, NJ · Pediatrics Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.