NPIMap

Individual provider Active NPI

Bruce Nathaniel Saffran, MD

  • Diagnostic Radiology Physician
  • Columbus, NJ
National Provider Identifier
1124052253
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2344951 Issued in NY
Practice address
1 Queens CT
Columbus, NJ 08022-1607
Phone
(609) 354-8384
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD417713 PA
Diagnostic Radiology Physician 2085R0202X 25MA07251900 NJ
Nuclear Medicine Physician 207U00000X MD417713 PA
Nuclear Medicine Physician 207U00000X 25MA07251900 NJ
Neuroradiology Physician 2085N0700X MD417713 PA
Vascular & Interventional Radiology Physician 2085R0204X MD417713 PA
Neuroradiology Physician 2085N0700X 25MA07251900 NJ
Vascular & Interventional Radiology Physician 2085R0204X 25MA07251900 NJ
Diagnostic Radiology Physician 2085R0202X 2344951 NY Primary

Addresses

Primary practice location

1 Queens CT
Columbus, NJ 08022-1607

Mailing address

1 Queens CT
Columbus, NJ 08022-1607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150128001588 NY Practitioner - Internal Medicine 0941100119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fpa Hospital BasedGroup PAC ID 4789826694, 423 clinicians

Practice addresses (Care Compare)

1176 5TH Ave
New York, NY 10029-6503
Phone (212) 241-8395

Hospital & facility affiliations

  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024
  • Mount Sinai West Hospital, New York, NY, CCN 330046
  • Mount Sinai Beth Israel Hospital, New York, NY, CCN 330169
  • Ny Eye and Ear Infirmary of Mount Sinai Hospital, New York, NY, CCN 330100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD417713PAMDNuclear Medicine Physician
25MA07251900NJMDNeuroradiology Physician
2344951NYMDDiagnostic Radiology Physician

Practice roles (12 of 16)

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine Diagnostic Radiology Current Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Oct 1, 2015 Accepting new patients
Fpa Hospital Based Nuclear Medicine Current Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Oct 1, 2015 Accepting new patients
Fpa Hospital Based CurrentSince Jan 1, 2015 Accepting new patients
Fpa Hospital Based CurrentSince Jan 1, 2015 Accepting new patients
Hillsborough Radiology Centers, LLC Neuroradiology PastSince Dec 1, 2016 Accepting new patients
Diagnostic Imaging of South Jersey PC Diagnostic Radiology Past Accepting new patients
Hillsborough Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients
Radiology Associates of New Jersey PC Neuroradiology Past Accepting new patients
Associated Radiologists PA Diagnostic Radiology Past Accepting new patients
Excalibur Medical Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

120 New York Ave
Huntington, NY 11743
Phone (631) 351-3766

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 12

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 12

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1124052253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 QUEENS CT",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080221607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 QUEENS CT",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080221607",
            "telephone_number": "609-354-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFFRAN",
        "first_name": "BRUCE",
        "middle_name": "NATHANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD417713",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07251900",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "PA",
            "license": "MD417713",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NJ",
            "license": "25MA07251900",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PA",
            "license": "MD417713",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD417713",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NJ",
            "license": "25MA07251900",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA07251900",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "2344951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NJ

Sources for this page

Verify at the official NPI Registry.