Individual provider Active NPI

Bruce William Peters, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Toms River, NJ
National Provider Identifier
1326017443
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
25MB06567300 Issued in NJ
Practice address
54 Bey Lea Rd
Suite 3
Toms River, NJ 08753-2891
Phone
(732) 281-0100
Fax
(732) 281-0400
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 25MB06567300 NJ Primary

Addresses

Primary practice location

54 Bey Lea Rd
Suite 3
Toms River, NJ 08753-2891

Mailing address

54 Bey Lea Rd
Suite 3
Toms River, NJ 08753-2891
Phone (732) 281-0100

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
I20100827000861 NJ Practitioner - Otolaryngology 6103808845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Philadelphia College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocean Otolyarngology LLCGroup PAC ID 3274990577, 7 clinicians

Practice addresses (Care Compare)

54 Bey Lea Rd
Suite 3
Toms River, NJ 08753-2978
Phone (732) 281-0100

Hospital & facility affiliations

  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Monmouth Medical Center-Southern Campus Hospital, Lakewood, NJ, CCN 310084
  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113

Merit-based Incentive Payment System (MIPS)

Final score
95.66 of 100Reported as group
Quality
91.32
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB06567300NJMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Otolyarngology LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

1707 Atlantic Ave
Bldg 1
Manasquan, NJ 08736
Phone (732) 281-0100

1707 Atlantic Ave
Ste 1
Manasquan, NJ 08736
Phone (732) 281-0100

54 Bey Lea Rd
Ste 3
Toms River, NJ 08753
Phone (732) 281-0100

Interoperability endpoints

  • Direct secure messaging: bruce.peters@ool.eclinicaldirectplus.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 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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1326017443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BEY LEA RD",
            "address_2": "SUITE 3",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532891",
            "telephone_number": "732-281-0100",
            "fax_number": "732-281-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BEY LEA RD",
            "address_2": "SUITE 3",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532891",
            "telephone_number": "732-281-0100",
            "fax_number": "732-281-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "BRUCE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NJ",
            "license": "25MB06567300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.