Michael Jay Nusbaum, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MA061479 Issued in NJ

Practice address

95 Madison Ave
Suite A06
Morristown, NJ 07960-6092

Phone

(973) 998-9833

Fax

(973) 998-9832

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2021 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Healthy Ewl PC

  • Obesity Medicine (Family Medicine) Physician
  • Morristown, NJ
  • NPI 1801319496
  NPD (past) Authorized official
• H Stephen Fletcher MD PA

  • Surgery Physician
  • Livingston, NJ
  • NPI 1649467887
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1265460554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE",
            "address_2": "SUITE A06",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606092",
            "telephone_number": "973-998-9833",
            "fax_number": "973-998-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE",
            "address_2": "SUITE A06",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606092",
            "telephone_number": "973-998-9833",
            "fax_number": "973-998-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSBAUM",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA061479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7649401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawid Nowak
• Daria Nowosielecki, APN
• Eliannie Nunez, MD
• Elkin Armando Nunez, MD
• Paulo Nunez, CHC
• Nutrition Works, LLC
• Nuvision Medical Solutions
• Gabriella Lynn Nuzzi
• Tun Nyunt, MD
• Diane O Halloran

• Surgery Physician in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.