DR. JEFFREY S. BROTTMAN MD, NPI 1699855239 — FREEHOLD (NJ)

NPI 1699855239

13+ Years Experience Individual

DR. JEFFREY S. BROTTMAN MD

10/17/2006
PROVIDER ENUMERATION DATE
12.08.2009
LAST UPDATE DATE
1699855239
NPI NUMBER

About DR. JEFFREY S. BROTTMAN

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

DR. JEFFREY S. BROTTMAN is a provider established in FREEHOLD, NJ. The NPI number of DR. JEFFREY S. BROTTMAN is 1699855239 and was assigned on 10/17/2006. The practitioners primary taxonomy code is: 207W00000X with license number: 25MA05823600 NJ .

Mailing address

  • City: FREEHOLD
  • State: NJ
  • Postal code: 77282500
  • Phone: 7324628707
  • Fax: 7327803699
  • Address: 500 W MAIN ST

Primary Practice Address

  • Region : FREEHOLD, NJ
  • NPI : 1699855239
  • Phone : 7324628707
  • Fax : 7327803699
  • Postalcode : 77282500
  • Address : 500 W MAIN ST

Provider taxonomy - Ophthalmology

  • Taxonomy code: 207W00000X
  • License number: 25MA05823600
  • License state: NJ

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Contacts:

Click to Show Map
  • DR. JEFFREY S. BROTTMAN MD
  • Address : 500 W MAIN ST
  • Region : FREEHOLD, NJ
  • NPI : 1699855239
  • Phone : 7324628707
  • Fax : 7327803699
  • Postalcode : 77282500

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address500 W MAIN ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameFREEHOLD
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNJ
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code77282500
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number7324628707
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number7327803699
The fax number associated with the location address of the provider being identified.
NPI1699855239
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1207W00000X
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Provider Enumeration Date10/17/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated12.08.2009
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DR. JEFFREY S. BROTTMAN
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address500 W MAIN ST
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameFREEHOLD
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNJ
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code77282500
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number7324628707
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number7327803699
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1207W00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Provider License Number 125MA05823600
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1NJ
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

Share this page?