ETHAN BRUDNO LPC
NPI 1346054228
Counselor - Professional in Medford, NJ
About Ethan Brudno Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN BRUDNO LPC (NPI 1346054228) is an individual professional provider in Medford, New Jersey, licensed in New Jersey (37PC01099500) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ethan Brudno Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MEDFORD, NJ 08055
MEDFORD, NJ 08055
MEDFORD, NJ 08055
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ethan Brudno's NPI number?
The NPI number for Ethan Brudno is 1346054228. It was assigned to this individual provider in the NPPES registry on February 3, 2025.
Where is Ethan Brudno located?
Ethan Brudno practices at 103 Old Marlton Pike Ste 101, Medford, NJ 08055. The listed phone number is (609) 314-1807.
What is Ethan Brudno's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Ethan Brudno enrolled in Medicare?
Yes. Ethan Brudno is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Ethan Brudno was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.