NPIMap

Individual provider Active NPI

Daniel Todd Burzon, MD

  • Urology Physician
  • Brick, NJ
National Provider Identifier
1134102015
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA6563900 Issued in NJ
Practice address
446 Jack Martin Blvd
Brick, NJ 08724-7733
Phone
(732) 840-4300
Fax
(732) 840-4515
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25MA6563900 NJ Primary

Addresses

Primary practice location

446 Jack Martin Blvd
Brick, NJ 08724-7733

Mailing address

446 Jack Martin Blvd
Brick, NJ 08724-7733
Phone (732) 840-4300

Other identifiers 1

IdentifierTypeStateIssuer
7372308MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050812000634 NJ Practitioner - Urology 8325078041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
JS Weill Medical College, Cornell University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

446 Jack Martin Blvd
Brick, NJ 08724-7733
Phone (732) 840-4300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as individual
Quality
83.44
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA6563900NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology Associates Enterprises Urology CurrentSince Sep 1, 2021 Accepting new patients
Advanced Urology Associates Enterprises Urology CurrentSince Sep 1, 2021 Accepting new patients
Urology Associates, PA Current Accepting new patients
Coastal Urology Associates PA Current Accepting new patients
Hands on Home Care Inc. PastSince Jun 10, 2019 Accepting new patients

Locations

446 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 458-5300

900 Route 70
Lakewood, NJ 08701
Phone (732) 741-5923

814 River Ave
Ste B
Lakewood, NJ 08701
Phone (732) 370-2250

900 Route 70
Ste 2A
Lakewood, NJ 08701
Phone (732) 901-7314

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

  • FHIR API: https://app.meldrx.com/api/fhir/uc33586_urologyassociatespa
  • Direct secure messaging: danielburzonmd@coastalurology.medentdirect.com

Organizations & group practices 5

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 9

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1134102015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247733",
            "telephone_number": "732-840-4300",
            "fax_number": "732-840-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247733",
            "telephone_number": "732-840-4300",
            "fax_number": "732-840-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURZON",
        "first_name": "DANIEL",
        "middle_name": "TODD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA6563900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7372308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.