Active NPI
Bruce J Romanczuk, MD
- Otolaryngology Physician
- Manahawkin, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 25MA03704500
- Practice address
- 1145 Beacon Avenue
Manahawkin, NJ 08050-2626 - Phone
- (609) 597-7110
- Fax
- (609) 597-7113
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 25MA03704500 | NJ | Primary |
| Otolaryngology Physician | 207Y00000X | MD017065E | PA |
Addresses
Primary practice location
1145 Beacon Avenue
Manahawkin, NJ 08050-2626
Mailing address
1145 Beacon Avenue
Manahawkin, NJ 08050-2626
Phone (609) 597-7110
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0185580000 | Other | NJ | AMERIHEALTH |
| 0600528 | Other | GHI | |
| 4100689 | Other | AETNA | |
| 82567570 | Other | LOCAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Pittsburgh School of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211
15200 Bustleton Ave
Philadelphia, PA 19116-1196
Phone (215) 464-6383
175 Cross Keys Rd
Suite 300a
Berlin, NJ 08009-9263
Phone (856) 872-7055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03704500 | NJ | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Surgical Associates, PA | Current | Accepting new patients | |
| Berlin Medical Associates, P.a. | Current | Accepting new patients | |
| Advocare, LLC | Past | Accepting new patients | |
| Community Neurology Associates PC | Past | Accepting new patients |
Locations
160 S White Horse Pike
Berlin, NJ 08009
Phone (609) 767-0077
3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
Interoperability endpoints
- bruce.romanczuk@advocaredoctors.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Berlin, NJ
- NPI 1174570832
-
- Orthopaedic Surgery Physician
- Voorhees, NJ
- NPI 1427177195
-
- Pediatrics Physician
- Cherry Hill, NJ
- NPI 1780696732
-
- Neurology Physician
- Cherry Hill, NJ
- NPI 1205883782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427136993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 BEACON AVENUE",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502626",
"telephone_number": "609-597-7110",
"fax_number": "609-597-7113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 BEACON AVENUE",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502626",
"telephone_number": "609-597-7110",
"fax_number": "609-597-7113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMANCZUK",
"first_name": "BRUCE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NJ",
"license": "25MA03704500",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MD017065E",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0185580000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0600528",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4100689",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOCAL",
"identifier": "82567570",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manahawkin, NJ
Sources for this page
- 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.