Individual provider Active NPI

Gregory Charles Bunt, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • New York, NY
National Provider Identifier
1063420057
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
1585551 Issued in NY
Practice address
54 West 40TH Street
New York, NY 10018
Phone
(212) 354-6000
Fax
(212) 391-9265
NPI assigned
Aug 4, 2006
Last updated
Nov 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 1585551 NY Primary

Addresses

Primary practice location

54 West 40TH Street
New York, NY 10018

Mailing address

611 Palmer Road
Yonkers, NY 10701
Phone (212) 354-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20060306000148 NY Practitioner - PsychiatryPractitioner - Addiction MedicinePractitioner - Neuropsychiatry 0244246924 Reassigns benefits to 2 organizations
Practice locations: Brewster, NY
I20230105000077 NJ Practitioner - Psychiatry 0244246924 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling Center at Toms River LLCGroup PAC ID 5294107785, 2 clinicians
Counseling Center at Fair Lawn, LLCGroup PAC ID 5496127086, 3 clinicians
Counseling Center at Freehold LLCGroup PAC ID 8820460363, 4 clinicians
Counseling Center at Clark LLCGroup PAC ID 3971990144, 2 clinicians

Practice addresses (Care Compare)

1198 Lakewood Rd
Suite 102
Toms River, NJ 08753-2237
Phone (732) 736-6559

16 -01 Broadway
Fair Lawn, NJ 07410-2026
Phone (732) 431-5300

4345 US Hwy 9
Freehold, NJ 07728-4215
Phone (732) 431-5300

950 Kings Hwy N 304
The Counseling Center at Cherryhill
Cherry Hill, NJ 08034-1518
Phone (856) 685-5800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1585551NYMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center at Freehold LLC CurrentSince Oct 14, 2022 Accepting new patients
Counseling Center at Clark, LLC CurrentSince Nov 1, 2022 Accepting new patients
Sunrise Detox Cherry Hill LLC CurrentSince Aug 11, 2022 Accepting new patients
Counseling Center at Toms River LLC CurrentSince Oct 14, 2022 Accepting new patients
Samaritan Daytop Village, Inc. CurrentSince Jun 19, 2016 Accepting new patients
Counseling Center at Fair Lawn, LLC CurrentSince Nov 17, 2022 Accepting new patients
Sunrise Detox Toms River, LLC CurrentSince Jan 1, 2022 Accepting new patients
Samaritan Daytop Health CurrentSince Oct 16, 2024 Accepting new patients
Samaritan Daytop Village, Inc. CurrentSince Jun 19, 2016 Accepting new patients

Locations

2328 10th Ave N
Ste 300
Lake Worth Beach, FL 33461
Phone (561) 318-4476

2328 10th Ave N
Ste 302
Lake Worth Beach, FL 33461
Phone (561) 318-4411

1417 Brace Rd
#C
Cherry Hill, NJ 08034
Phone (856) 699-6366

950 Kings Hwy N
Ste 304
Cherry Hill, NJ 08034
Phone (856) 600-0951

16-01 Broadway
Fair Lawn, NJ 07410
Phone (201) 389-5326

4345 US Highway 9
Freehold, NJ 07728
Phone (732) 414-3601

127 Union Ave
#1
Middlesex, NJ 08846
Phone (732) 629-9510

1100 Cornwall Rd
Ste 111
Monmouth Junction, NJ 08852
Phone (732) 419-4000

691 US Highway 130
Ste 5
Robbinsville, NJ 08691
Phone (609) 759-2077

1198 Lakewood Rd
Ste 102
Toms River, NJ 08753
Phone (732) 605-6364

16 Whitesville Rd
Toms River, NJ 08753
Phone (732) 341-1600

250 Grand Concourse
Bronx, NY 10451
Phone (718) 292-2240

362 E 148th St
Bronx, NY 10455
Phone (347) 840-0855

13802 Queens Blvd
Jamaica, NY 11435
Phone (718) 298-5100

Interoperability endpoints

  • Direct secure messaging: gregory.bunt.p2@direct.sdv.nextgenshare.com
  • Direct secure messaging: gregorymd.bunt.p2@direct.sdv.nextgenshare.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1063420057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 PALMER ROAD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "212-354-6000",
            "fax_number": "212-391-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 WEST 40TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10018",
            "telephone_number": "212-354-6000",
            "fax_number": "212-391-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNT",
        "first_name": "GREGORY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NY",
            "license": "1585551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.