Organization Active NPI

Bruce R. Rosenblum, MD PC

  • Neurological Surgery Physician
  • Shrewsbury, NJ
National Provider Identifier
1083751598
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA05714300 Issued in NJ
Legal business name
BRUCE R. ROSENBLUM, MD PC
Practice address
160 Avenue of the CMN
Shrewsbury, NJ 07702-4802
Phone
(732) 460-1522
Fax
(732) 460-1529
NPI assigned
Jan 31, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bruce R Rosenblum, M.D.NPI 1205864345
Title
President
Phone
(732) 460-1522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 25MA05714300 NJ Primary

Addresses

Primary practice location

160 Avenue of the CMN
Shrewsbury, NJ 07702-4802

Mailing address

PO Box 159
Colts Neck, NJ 07722-0159
Phone (732) 460-1522

Other identifiers 1

IdentifierTypeStateIssuer
5041007MedicaidNJ

National Provider Directory

National Provider Directory

Locations

160 Avenue At the Cmn
Shrewsbury, NJ 07702
Phone (732) 460-1522

160 Avenue At the Cmn
Ste 2
Shrewsbury, NJ 07702
Phone (732) 460-1522

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083751598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077220159",
            "telephone_number": "732-460-1522",
            "fax_number": "732-460-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 AVENUE OF THE CMN",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024802",
            "telephone_number": "732-460-1522",
            "fax_number": "732-460-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE R. ROSENBLUM, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENBLUM",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-460-1522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA05714300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5041007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.