Charles Bushong, M D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA03472800 Issued in NJ

Legal business name

CHARLES BUSHONG, M D

Practice address

200 E Main St
Suite C
Rockaway, NJ 07866-3614

Phone

(973) 625-7337

Fax

(973) 625-5796

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Robert Bushong Jr., MD

Title

Owner

Phone

(973) 625-7337

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265651822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST",
            "address_2": "SUITE C",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663614",
            "telephone_number": "973-625-7337",
            "fax_number": "973-625-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST",
            "address_2": "SUITE C",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663614",
            "telephone_number": "973-625-7337",
            "fax_number": "973-625-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES BUSHONG, M D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUSHONG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-625-7337",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA03472800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Family Services, Inc.
• Central Morris Neurology, P.a.
• Alexa Danielle Centrella
• Cfo Retail, Inc. (Cohen's Fashion Optical)
• Alejandra T Chacon, BSN, RN
• Charles M Cummins, OD, PA (Visionworks Doctors of Optometry)
• Chiropractic Arts Building
• Julianne Yanas Chlodnicki, REGISTERED DIETITIAN
• Sung Hoon Cho, DMD
• Abid Chowdhury, PHARM.D

• Pediatrics Physician in Rockaway, NJ
• Providers in Rockaway, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.