Glenn R. Budnick, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MA03883900 Issued in NJ

Practice address

9009 Ventnor Ave
Margate City, NJ 08402-2444

Phone

(609) 823-2773

Fax

(609) 823-6464

NPI assigned

May 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Pediatric Associates of Atlantic County

  • Primary Care Clinic/Center
  • Margate City, NJ
  • NPI 1558451492
  NPD (past) Authorized official
• Reliance Medical Group LLC

  • Specialist
  • Northfield, NJ
  • NPI 1861555294
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497956940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 VENTNOR AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084022444",
            "telephone_number": "609-823-2773",
            "fax_number": "609-823-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 VENTNOR AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084022444",
            "telephone_number": "609-823-2773",
            "fax_number": "609-823-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDNICK",
        "first_name": "GLENN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA03883900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Lynn Benedetti, RPH
• Eileen E Berkowtiz, LCSW
• Body Architects Inc.
• Sarah Genevieve Bonaffini, D.O.
• Bridget a McLaughlin DMD LLC
• Anthony Cappuccio
• Eugene C. Carroccia, M.D.
• Jessica L Carroll, PA-C
• Michael J Caruso, DO
• Bernard Samuel Casel, MD

• Primary Care Clinic/Center in Margate City, NJ
• Providers in Margate City, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.