Individual provider Active NPI

Brad Michael Buchholtz, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Neptune, NJ
National Provider Identifier
1346407046
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
41YA00067200 Issued in NJ
Practice address
3700 Route 33
Suite 101
Neptune, NJ 07753
Phone
(732) 280-7855
Fax
(732) 280-7815
NPI assigned
May 20, 2008
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00067200 NJ
Audiologist-Hearing Aid Fitter 237600000X 41YA00067200 NJ Primary

Addresses

Primary practice location

3700 Route 33
Suite 101
Neptune, NJ 07753

Mailing address

3700 Route 33
Suite 101
Neptune, NJ 07753-2428
Phone (732) 280-7855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090506000233 NJ Practitioner - Qualified Audiologist 1456409184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Pennsylvania College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Ear Nose and Throat LLCGroup PAC ID 2264536697, 19 clinicians

Practice addresses (Care Compare)

3700 State Route 33
Neptune, NJ 07753-3268
Phone (732) 280-7855

Merit-based Incentive Payment System (MIPS)

Final score
86.16 of 100Reported as group
Quality
85.63
Promoting interoperability
89
Improvement activities
40
Cost
77.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Ear Nose and Throat, LLC CurrentSince Dec 1, 2014 Accepting new patients
Anthony F. Jahn,M.D.,PA Past Accepting new patients
Englewood Ear Nose & Throat PC PastSince Aug 1, 1997 Accepting new patients

Locations

100 Commons Way
Ste 210
Holmdel, NJ 07733

1301 Route 72 W
Ste 340
Manahawkin, NJ 08050
Phone (609) 597-0547

3700 State Route 33
Neptune, NJ 07753
Phone (732) 212-6590

3700 State Route 33
Ste 101
Neptune, NJ 07753
Phone (732) 280-5055

Interoperability endpoints

  • Direct secure messaging: bbuchholtz@coastal.emadirect.md

Organizations & group practices 3

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1346407046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 ROUTE 33",
            "address_2": "SUITE 101",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532428",
            "telephone_number": "732-280-7855",
            "fax_number": "732-280-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 ROUTE 33",
            "address_2": "SUITE 101",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-280-7855",
            "fax_number": "732-280-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHHOLTZ",
        "first_name": "BRAD",
        "middle_name": "MICHAEL",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2021-03-19",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00067200",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "41YA00067200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.