Individual provider Active NPI

Bruce Robert Rosenblum, M.D.

  • Neurological Surgery Physician
  • Shrewsbury, NJ
National Provider Identifier
1205864345
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MA57143 Issued in NJ
Practice address
160 Avenue at the Commons
Shrewsbury, NJ 07702
Phone
(732) 460-1522
Fax
(732) 460-1530
NPI assigned
Jun 29, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MA57143 NJ Primary

Addresses

Primary practice location

160 Avenue at the Commons
Shrewsbury, NJ 07702

Mailing address

160 Avenue at the Commons
Shrewsbury, NJ 07702
Phone (732) 460-1522

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
I20100114000021 NJ Practitioner - General PracticePractitioner - Neurosurgery 5395886220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA57143NJMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce R. Rosenblum, MD PC Neurological Surgery CurrentSince Dec 10, 2009 Accepting new patients

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

Interoperability endpoints

  • Direct secure messaging: bruce.rosenblum@brucerrosenblummdpc.chartmakerdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205864345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 AVENUE AT THE COMMONS",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "07702",
            "telephone_number": "732-460-1522",
            "fax_number": "732-460-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 AVENUE AT THE COMMONS",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "07702",
            "telephone_number": "732-460-1522",
            "fax_number": "732-460-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "BRUCE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "MA57143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.