Bruce A. Huberman, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

NJ16321 Issued in NJ

Practice address

619 Amboy Ave
Edison, NJ 08837-3553

Phone

(732) 738-6555

Fax

(732) 738-6565

NPI assigned

Feb 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: bhuberman3928109@nychhc.direct-ci.com

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.

• Icahn School of Medicine at Mount Sinai

  • Orthopaedic Surgery Physician
  • Elmhurst, NY
  • NPI 1609120674
  Medicare reassignment NPD
• Am Dental Services P.C.

  • Dental Clinic/Center
  • Forest Hills, NY
  • NPI 1851163695
  NPD Authorized official
• Riverside Oral Surgery - Edison-Clark

  • Oral and Maxillofacial Surgery (Dentist)
  • Edison, NJ
  • NPI 1689268427
  NPD
• Icahn School of Medicine at Mount Sinai

  • Diagnostic Radiology Physician
  • Elmhurst, NY
  • NPI 1619221686
  NPD
• Sioms Forest Hills Management LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Forest Hills, NY
  • NPI 1124659479
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194798249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 PARK AVE",
            "address_2": "STE 201",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805530",
            "telephone_number": "908-757-4122",
            "fax_number": "908-757-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373553",
            "telephone_number": "732-738-6555",
            "fax_number": "732-738-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7009 Austin St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113751012",
            "country_code": "US",
            "telephone_number": "718-261-2790",
            "fax_number": "718-261-2795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBERMAN",
        "first_name": "BRUCE",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "NJ16321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soe Min Htet, DMD
• Haizhu Jewel Hu, PA
• Bei Barbara Huang, MD
• Liang Huang, PHARM.D.
• Phyllis Noel Huang, MD
• Hudak Chiropractic Center
• Hudak Chiropractic Center PC
• Joseph William Hudak, DC
• Christy Hudnett
• Patricia Hufnagle, LCSW

• Oral and Maxillofacial Surgery (Dentist) in Edison, NJ
• Providers in Edison, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.