Ellen M Black (NPI# 1164594735, PAC ID# 3072531839) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1164594735 |
PAC ID by PECOS | 3072531839 |
Professional Enrollment ID | I20051110000050 |
Full Name | Ellen M Black |
Address |
946 Ave C Bayonne NJ 07002-3026 |
Phone Number | 2158580800 |
Gender | F |
Credential | MD |
Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1979 |
Primary Specialty | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
310025 | BAYONNE MEDICAL CENTER |
310074 | JERSEY CITY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
946 Ave C, Bayonne, NJ 07002-3026 | 2158580800 |
Street Address |
946 AVE C |
City | BAYONNE |
State | NJ |
Zip | 07002-3026 |
Name | Specialty | Organization | Address |
---|---|---|---|
John J Smith | Family Practice | John Joseph Smith Md PC | 946 Ave C, Bayonne, NJ 07002-3026 |
Name | Specialty | Organization | Address |
---|---|---|---|
Steven T Coachman | Chiropractic | 7 W 8th St, Bayonne, NJ 07002-1201 | |
Zbigniew Md Moszczynski | General Surgery | 31 W 8th St, Bayonne, NJ 07002-1201 | |
Justine Pawlukewicz | Clinical Social Worker | 103 W 8th St, Bayonne, NJ 07002-1202 | |
Hani M Rizk | Physical Therapy | Sportscare of America, PC | 33 W 8th St, Bayonne, NJ 07002-1287 |
Judith Meer | Physical Therapy | United Sports Care and Physical Therapy | 33 W 8th St, Bayonne, NJ 07002-1287 |
Marco Antonio Pelosi Iii | Gynecological Oncology | 350 Kennedy Blvd, Bayonne, NJ 07002-1313 | |
Jay Michael Zelinski | Gastroenterology | 350 Kennedy Blvd, Bayonne, NJ 07002-1313 | |
Jolanta Potoczek-salahi | Family Medicine | New Jersey Medical and Health Associates LLC | 391 Kennedy Blvd, Bayonne, NJ 07002-1330 |
Francisco J Diaz | Family Medicine | New Jersey Medical and Health Associates LLC | 391 Kennedy Blvd, Bayonne, NJ 07002-1330 |
Margaret A Engel | Internal Medicine | 327 Ave C, Bayonne, NJ 07002-1403 | |
Find all physicians in zip 07002 |
City | BAYONNE |
Zip Code | 07002 |
Specialty | INTERNAL MEDICINE |
City + Specialty | BAYONNE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ellen M Black.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.