Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ellen M Black, MD

Individual provider Internal Medicine Physician · NPI 1164594735

Dr. Ellen M Black, MD is an Internal Medicine in Bayonne, New Jersey. Graduated from Boston University School of Medicine in 1979, 47 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
47
Trained at
Boston University School of Medicine
Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

273 Avenue A
Bayonne, NJ 07002-1367
Phone: (201) 858-0800
Fax: (201) 858-3367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MA043128 (NJ)

Record details

NPI number1164594735
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 15, 2006
Last updated in NPPESJuly 8, 2007
Mailing address273 Avenue A, Bayonne, NJ 07002-1367

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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