Individual provider Active NPI

Bruce Patsner, M.D.

  • Addiction Psychiatry Physician
  • Neptune, NJ
National Provider Identifier
1497775753
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
25MA05484300 Issued in NJ
Practice address
19 Davis Ave FL 9
Neptune, NJ 07753-4488
Phone
(732) 897-3640
Fax
(732) 897-3639
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 153152 NY
Addiction Psychiatry Physician 2084P0802X 25MA05484300 NJ Primary

Addresses

Primary practice location

19 Davis Ave FL 9
Neptune, NJ 07753-4488

Mailing address

17 Spaulding PL
Monmouth Beach, NJ 07750-1015
Phone (732) 229-0988

Other practice location 1

24 Nautilus Dr Ste 2
Manahawkin, NJ 08050-2490
Phone (609) 978-3170

Other practice location 2

17 Spaulding Pl
Monmouth Beach, NJ 07750-1015
Phone (732) 229-0988

Other practice location 3

1610 Route 88 Fl 3
Brick, NJ 08724-3018
Phone (732) 295-6543

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220817001355 NJ Practitioner - Psychiatry 9931252095 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
153152NYMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Complex Care PC Gynecologic Oncology CurrentSince May 6, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Jsas Healthcare, Inc. CurrentSince Sep 9, 2024 Accepting new patients

Locations

1610 Route 88 W
Brick, NJ 08724
Phone (732) 295-6543

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

24 Nautilus Dr
Ste 2
Manahawkin, NJ 08050
Phone (609) 978-3170

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

19 Davis Ave
Fl 9
Neptune, NJ 07753
Phone (732) 897-3640

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

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

1610 State Route 88
Fl 3
Wall Township, NJ 08724
Phone (732) 295-6543

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497775753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SPAULDING PL",
            "city": "MONMOUTH BEACH",
            "state": "NJ",
            "postal_code": "077501015",
            "telephone_number": "732-229-0988",
            "fax_number": "732-229-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DAVIS AVE FL 9",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534488",
            "telephone_number": "732-897-3640",
            "fax_number": "732-897-3639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Nautilus Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Manahawkin",
            "state": "NJ",
            "postal_code": "080502490",
            "country_code": "US",
            "telephone_number": "609-978-3170",
            "fax_number": "609-978-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Spaulding Pl",
            "address_purpose": "LOCATION",
            "city": "Monmouth Beach",
            "state": "NJ",
            "postal_code": "077501015",
            "country_code": "US",
            "telephone_number": "732-229-0988",
            "fax_number": "732-229-0771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1610 Route 88 Fl 3",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087243018",
            "country_code": "US",
            "telephone_number": "732-295-6543",
            "fax_number": "732-295-6204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATSNER",
        "first_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-03-07",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "153152",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NJ",
            "license": "25MA05484300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.