Organization Active NPI

Michael Bronstein, D.M.D., P.a.

  • General Practice Dentistry
  • Woodbury, NJ
National Provider Identifier
1497805139
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NJ 17378 Issued in NJ
Legal business name
MICHAEL BRONSTEIN, D.M.D., P.A.
Practice address
1040 Cooper St
At Grant Avenue
Woodbury, NJ 08096-3015
Phone
(856) 848-6239
Fax
(856) 848-3000
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Bronstein, D.M.D.NPI 1821148461
Title
President
Phone
(856) 848-6239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NJ 17378 NJ Primary

Addresses

Primary practice location

1040 Cooper St
At Grant Avenue
Woodbury, NJ 08096-3015

Mailing address

1040 Cooper St
At Grant Avenue
Woodbury, NJ 08096-3015
Phone (856) 848-6239

National Provider Directory

National Provider Directory

Locations

1040 Cooper St
Woodbury, NJ 08096
Phone (856) 848-6239

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497805139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 COOPER ST",
            "address_2": "AT GRANT AVENUE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963015",
            "telephone_number": "856-848-6239",
            "fax_number": "856-848-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 COOPER ST",
            "address_2": "AT GRANT AVENUE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963015",
            "telephone_number": "856-848-6239",
            "fax_number": "856-848-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BRONSTEIN, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRONSTEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-848-6239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "NJ 17378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.