Ella Broytman, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00944900 Issued in NJ

Practice address

24-12 Fair Lawn Ave
Fair Lawn, NJ 07410-3401

Phone

(201) 797-7500

NPI assigned

Nov 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cvshealth@minuteclinic.com

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.

• G&S Medical Associates LLC

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1982982336

  Family

  Medicare reassignment NPD
• Star Medcare PC

  • Physical Medicine & Rehabilitation Physician
  • Newark, NJ
  • NPI 1699376129
  Medicare reassignment NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  NJ

  Medicare reassignment NPD
• Clifton-Wallington Medical Group

  • Internal Medicine Physician
  • Clifton, NJ
  • NPI 1548209315
  NPD (past)
• Doctov PC

  • Physical Medicine & Rehabilitation Physician
  • Newark, NJ
  • NPI 1003519943
  NPD (past)
• St Marys General Medical Group PC

  • Internal Medicine Physician
  • Passaic, NJ
  • NPI 1477261741
  NPD (past)

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1992340111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26-31 WARREN RD APT D",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103325",
            "telephone_number": "917-421-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24-12 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103401",
            "telephone_number": "201-797-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Wallington",
            "state": "NJ",
            "postal_code": "070571134",
            "country_code": "US",
            "telephone_number": "973-473-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROYTMAN",
        "first_name": "ELLA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00944900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CVShealth@MinuteClinic.com",
            "affiliation": "N",
            "endpointDescription": "Minute Clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24-12 Fair Lawn Ave",
            "city": "Fair Lawn",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074103401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Broadway Respite and Home Care, LLC
• Broadway Respite and Home Care, LLC
• Broadway Respite and Home Care, LLC
• Assia Bromberg, M.D.
• Vanessa Corette Brown
• Brigitte Lynn Buccellato, LCSW
• Jeffrey Brett Buchmann, DMD
• Long Kim Bui-Le, PA-C
• Ami Burgos
• Yuliya Bykova, MS

• Family Nurse Practitioner in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.