ELLEN C EBERT MD
NPI 1477635522
Specialist in Somerset, NJ

Active since October 19, 2006
17 CLYDE RD, SOMERSET, NJ 08873(732) 873-1600(732) 873-1606 Get Directions Write a Review

NPPES record last updated: September 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellen C Ebert Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN C EBERT MD (NPI 1477635522) is an individual specialist in Somerset, New Jersey, licensed in New Jersey (MA04369900) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1477635522
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameELLEN C EBERTCredential: MD
Location Address17 CLYDE RDSomerset, NJ 08873-5041
Mailing Address17 Clyde RdSomerset, NJ 08873-5041 · (732) 873-1600 · Fax (732) 873-1606
Fax(732) 873-1606
Sole ProprietorNo
Enumeration DateOctober 19, 2006
Last NPPES UpdateSeptember 24, 2013
NPI 1477635522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NJ · MA04369900
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 25MA04369900 (NJ)
17 CLYDE RD, Somerset, NJ 08873

Other Identifiers 3

Medicare PIN403897NJ
Medicare PIN403897B89NJ
Medicaid0174602NJ

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
17 CLYDE RD, SUITE 101
SOMERSET, NJ 08873
Internal Medicine (Gastroenterology)
17 CLYDE RD, SUITE 101
SOMERSET, NJ 08873
Dentist (General Practice)
17 CLYDE RD, SUITE 103
SOMERSET, NJ 08873

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 Ellen Ebert's NPI number?

The NPI number for Ellen Ebert is 1477635522. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Ellen Ebert located?

Ellen Ebert practices at 17 Clyde Rd, Somerset, NJ 08873. The listed phone number is (732) 873-1600.

What is Ellen Ebert's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ellen Ebert was last updated on September 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.