NPIMap

Individual provider Active NPI

Harvey Kenneth Bucholtz, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Edison, NJ
National Provider Identifier
1427020296
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
29928 Issued in NJ
Practice address
2333 Morris Ave
B202
Edison, NJ 07083-5714
Phone
(908) 688-2244
Fax
(908) 688-9190
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 29928 NJ Primary

Addresses

Primary practice location

2333 Morris Ave
B202
Edison, NJ 07083-5714

Mailing address

2 Lincoln Hwy Ste 501
Edison, NJ 08820-3961
Phone (732) 549-7470

Other identifiers 1

IdentifierTypeStateIssuer
0502405MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051103000019 NJ Practitioner - Endocrinology 8921059072 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
State University of Ny Upstate Medical University, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1915

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29928NJMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Newark Beth Israel Medical Center Inc CurrentSince Sep 17, 2014 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 28, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 28, 2023 Accepting new patients
Newark Beth Israel Medical Center Inc CurrentSince Sep 17, 2014 Accepting new patients
Nbimc Family Health Center Past Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

Interoperability endpoints

  • Direct secure messaging: harvey.bucholtz@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 8

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 3

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1427020296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HWY STE 501",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203961",
            "telephone_number": "732-549-7470",
            "fax_number": "732-494-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE",
            "address_2": "B202",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "070835714",
            "telephone_number": "908-688-2244",
            "fax_number": "908-688-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHOLTZ",
        "first_name": "HARVEY",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "29928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0502405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.