Individual provider Active NPI

Robert Paul Bonitz Jr.

  • Urology Physician
  • Shrewsbury, NJ
National Provider Identifier
1104182716
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA10114100 Issued in NJ
Practice address
595 Shrewsbury Ave Ste 103
Shrewsbury, NJ 07702-4159
Phone
(732) 741-5923
Fax
(732) 741-2759
NPI assigned
Apr 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Urology Physician 208800000X 25MA10114100 NJ Primary

Addresses

Primary practice location

595 Shrewsbury Ave Ste 103
Shrewsbury, NJ 07702-4159

Mailing address

595 Shrewsbury Ave Ste 103
Shrewsbury, NJ 07702-4159
Phone (732) 741-5923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170802000205 NJ Practitioner - Urology 3779854278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Rutgers New Jersey Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Urology Associates EnterprisesGroup PAC ID 5698184927, 18 clinicians

Practice addresses (Care Compare)

595 Shrewsbury Ave
Suite 103
Shrewsbury, NJ 07702-4159
Phone (732) 741-5923

Hospital & facility affiliations

  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology Associates Enterprises Urology CurrentSince Jun 1, 2021 Accepting new patients
Advanced Urology Associates Enterprises Urology CurrentSince Jun 1, 2021 Accepting new patients

Locations

2401 State Route 35
Manasquan, NJ 08736
Phone (732) 223-7877

595 Shrewsbury Ave
Ste 103
Shrewsbury, NJ 07702
Phone (732) 741-5923

Interoperability endpoints

  • Direct secure messaging: robertbonitz@uap.medalliesdirect.net

Organizations & group practices 2

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 10

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1104182716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 SHREWSBURY AVE STE 103",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024159",
            "telephone_number": "732-741-5923",
            "fax_number": "732-741-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 SHREWSBURY AVE STE 103",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024159",
            "telephone_number": "732-741-5923",
            "fax_number": "732-741-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONITZ",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA10114100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.