Active NPI
Bruce Patsner, M.D.
- Addiction Psychiatry Physician
- Neptune, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- 25MA05484300
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153152 | NY | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Complex Care PC | Gynecologic Oncology | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Jsas Healthcare, Inc. | Current | 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
- 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.
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Gynecologic Oncology
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Methadone Clinic
- Neptune, NJ
- NPI 1750376133
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.