James G Bravyak, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MB44832 Issued in NJ

Practice address

102 Centre Blvd
Marlton, NJ 08053-4129

Phone

(856) 988-6260

Fax

(856) 988-6270

NPI assigned

Jul 13, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Specialty

AnesthesiologyAlso: Pain Management

Education

Philadelphia College of Osteopathic Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ny NJ Anesthesia LLCGroup PAC ID 9537447677, 7 clinicians

Ultracare Anesthesia Partners LLCGroup PAC ID 4082920525, 78 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Ny NJ Anesthesia LLC

  • Anesthesiology Physician
  • Wyckoff, NJ
  • NPI 1396299582
  Medicare reassignment Care Compare group NPD
• Ultracare Anesthesia Partners LLC

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1407236110

  NJ

  Medicare reassignment Care Compare group NPD
• South Jersey Anesthesia and Pain Physicians PC

  • Anesthesiology Physician
  • Woodbury, NJ
  • NPI 1700821352
  Medicare reassignment NPD
• Gastroenterology Diagnostics of Northern New Jersey, PA

  • Ambulatory Surgical Clinic/Center
  • Woodland Park, NJ
  • NPI 1942267893
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386642361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102E CENTRE BLVD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534129",
            "telephone_number": "856-988-6260",
            "fax_number": "856-988-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CENTRE BLVD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534129",
            "telephone_number": "856-988-6260",
            "fax_number": "856-988-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVYAK",
        "first_name": "JAMES",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MB44832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2410702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Braden Dental of South Jersey PC (Acorn Dental)
• Daniesha Bradley, LAC,NCC
• Peter Brancato Jr., MD
• Kevin Branford, BSN, RN
• Gerald M Braverman, M.D.
• Breaking the Cycle Counseling Services, LLC
• Ruth W Brenner, AU.D.
• Brandon J Bressler, LPC ACS
• Kaitlyn Alana Brettin, MD
• Nicole Brewin, CCC-SLP

• Anesthesiology Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.