Breast Health Center of Ridgewood, PC

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

License

104380 Issued in NJ

Legal business name

BREAST HEALTH CENTER OF RIDGEWOOD, PC

Practice address

385 S Maple Ave
Glen Rock, NJ 07452-1543

Phone

(201) 670-4550

Fax

(201) 670-6318

NPI assigned

May 8, 2007

Last updated

Sep 24, 2009By 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

Dr. Harold M Bruck, MDNPI 1740246099

Title

President

Phone

(201) 670-4550

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harold M Bruck, M.D.

  • Surgical Oncology Physician
  • Glen Rock, NJ
  • NPI 1740246099
  Authorized official Same address or phone

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1326251158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 S MAPLE AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521543",
            "telephone_number": "201-670-4550",
            "fax_number": "201-670-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 S MAPLE AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521543",
            "telephone_number": "201-670-4550",
            "fax_number": "201-670-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST HEALTH CENTER OF RIDGEWOOD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "BRUCK",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-670-4550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "NJ",
            "license": "104380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Bhuva, PHMNP- C, CPNP
• Melissa Bilbao, OTR/L
• Bruce Walter Bitzer, D.M.D.
• Amy Boardman, RN, IBCLC
• Janet Brancato, M.S., R.D.
• Kevin Douglas Brennan, PSY.D.
• Irina Bronstein
• Nancy Brophy, MA, BCBA
• Harold M Bruck, M.D.
• Fatima Bukhari, MD

• Mammography Clinic/Center in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Mammography Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.