Active NPI
Matthew Bushman
- Anesthesiology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 304594-01
- Practice address
- 2525 Kings Hwy
Brooklyn, NY 11229-1705 - Phone
- (718) 692-5300
- NPI assigned
- Apr 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 304594-01 | NY | Primary |
Addresses
Primary practice location
2525 Kings Hwy
Brooklyn, NY 11229-1705
Mailing address
503 Sunshine Lakes Dr
Voorhees, NJ 08043-2854
Phone (856) 287-1003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200606000033 | NY | Practitioner - Anesthesiology | 7416378062 | Reassigns benefits to 2 organizations |
| I20240923000616 | MA | Practitioner - Anesthesiology | 7416378062 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-6044
Hospital & facility affiliations
- Melrosewakefield Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304594-01 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Nyc Medical Associates LLC | Anesthesiology | Current | Accepting new patients |
| Pratt Anesthesiology Associates, Inc | Anesthesiology | Current | Accepting new patients |
| North American Partners in Pain Management LLP | Past | Accepting new patients |
Locations
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
2525 Kings Hwy
#H
Brooklyn, NY 11229
Phone (718) 616-2330
2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Boston, MA
- NPI 1326085390
Anesthesiology, MA
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1871844142
Anesthesiology, NY
-
- Pain Medicine (Anesthesiology) Physician
- Melville, NY
- NPI 1912999319
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1003270604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 SUNSHINE LAKES DR",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080432854",
"telephone_number": "856-287-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 KINGS HWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291705",
"telephone_number": "718-692-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHMAN",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-09",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "304594-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.