Bromley Neurology, PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

25MA07564200 Issued in NJ

Legal business name

BROMLEY NEUROLOGY, PC

Practice address

739 S White Horse Pike
Suite One
Audubon, NJ 08106-1659

Phone

(856) 546-2300

Fax

(856) 546-2301

NPI assigned

Jul 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Steven M Bromley, MDNPI 1962591586

Title

President/Owner

Phone

(856) 546-2300

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19773/brand/1/csg/1/fhir/r4

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven M Bromley, MD

  • Neurology Physician
  • Audubon, NJ
  • NPI 1962591586
  Medicare reassignment Care Compare group Authorized official
• Brandee Fonseca

  • Nurse Practitioner
  • Audubon, NJ
  • NPI 1568957926
  Medicare reassignment Care Compare group
• Keith V Preis, M.D.

  • Neurology Physician
  • Cherry Hill, NJ
  • NPI 1750317301
  Medicare reassignment Care Compare group
• Robert Christopher Kirk, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Audubon, NJ
  • NPI 1740686369
  Medicare reassignment NPD
• Jennifer Rae, APN

  • Adult Health Nurse Practitioner
  • Waretown, NJ
  • NPI 1497299390
  Medicare reassignment NPD
• Indrani Sen Hightower, M.D.

  • Neurology Physician
  • Sewell, NJ
  • NPI 1952410458
  Medicare reassignment NPD
• Robin D Schaffner, APN-C

  • Nurse Practitioner
  • Audubon, NJ
  • NPI 1396885679
  NPD (past)

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1437313368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 S WHITE HORSE PIKE",
            "address_2": "SUITE ONE",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061659",
            "telephone_number": "856-546-2300",
            "fax_number": "856-546-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 S WHITE HORSE PIKE",
            "address_2": "SUITE ONE",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061659",
            "telephone_number": "856-546-2300",
            "fax_number": "856-546-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROMLEY NEUROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "BROMLEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "856-546-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA07564200",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00144400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2279321000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3118807",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3394542",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodie Black, CRNP
• Marie Bodenschatz
• William Andrew Bodenschatz III, DDS
• Borough of Audubon
• Bromley Brain & Mind Institute LLC
• Steven M Bromley, MD
• William H Bromley II, D.O.
• Jessica K Brown
• Burton Analytics LLC
• Damien Christian Burton

• Neurology Physician in Audubon, NJ
• Providers in Audubon, NJ by specialty
• Neurology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.