Individual provider Active NPI

Matthew Bushman

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1003270604
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
304594-01 Issued in NY
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

Updated by the provider on Dec 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
Pratt Anesthesiology Associates IncGroup PAC ID 0547151151, 153 clinicians

Practice addresses (Care Compare)

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-6044

Hospital & facility affiliations

  • Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
304594-01NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Nyc Medical Associates LLC Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Pratt Anesthesiology Associates, Inc Anesthesiology CurrentSince Jul 19, 2024 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.

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

Verify at the official NPI Registry.