Anthony John Bussanich, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD058651L Issued in PA

Practice address

970 Route 70
Brick, NJ 08724-3502

Phone

(732) 206-8900

NPI assigned

Nov 5, 2009

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• East Orange Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Toms River, NJ
  • NPI 1780632802
  NPD (past)
• Central PA Emergency Physicians

  • Emergency Medicine Physician
  • Williamsport, PA
  • NPI 1295786622
  NPD (past)

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1518294909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N STOTT ST",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087212054",
            "telephone_number": "732-608-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 ROUTE 70",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243502",
            "telephone_number": "732-206-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 N Stott St",
            "address_purpose": "LOCATION",
            "city": "Bayville",
            "state": "NJ",
            "postal_code": "087212054",
            "country_code": "US",
            "telephone_number": "732-608-7631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSSANICH",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-05",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD058651L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Lee Burns, R PH
• Burnt Tavern Rehabilitation and Health Care Ctr (Burnt Tavern Convalescent Center)
• Burnt Tavern Rehabilitation and Health Care Ctr a L
• Esther Bursztyn
• Daniel Todd Burzon, MD
• Joseph Peter Buttacavoli, D.M.D.
• Marc Buttacavoli, DMD
• Kathleen P Buzzone-Brooks, MSW, LSW
• Brenda Cabrera Vicens, PA
• Darren Michael Caffery, PHD

• Internal Medicine Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• Internal Medicine Physician in New Jersey

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

Verify at the official NPI Registry.