Active NPI
Daniel Blaise Bruzzini, MD
- Neonatal-Perinatal Medicine Physician
- Voorhees, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 2001008796
- Practice address
- 1000 Haddonfield Berlin Rd Ste 210
Voorhees, NJ 08043 - Phone
- (856) 782-2212
- Fax
- (856) 782-2266
- NPI assigned
- Dec 24, 2005
- Last updated
- Apr 29, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 2001008796 | MO | Primary |
Addresses
Primary practice location
1000 Haddonfield Berlin Rd Ste 210
Voorhees, NJ 08043
Mailing address
1000 Haddonfield Berlin Rd Ste 210
Voorhees, NJ 08043-3520
Phone (856) 782-2212
Other practice location 1
1000 Haddonfield Berlin Rd Ste 210
Voorhees, NJ 08043
Phone (856) 782-2212
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD466001 | Medicaid | PA | |
| 036137763 | Medicaid | IL | |
| 01075127A | Medicaid | IN | |
| R9339 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001008796 | MO | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital Inc. | Current | Accepting new patients | |
| St. Luke's Hospital | Past | Accepting new patients | |
| Montclair Hospital LLC | Past | Accepting new patients |
Locations
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Interoperability endpoints
- dbruzzini@unionhealth.cernerdirect.com
- dbruzzini1264664@ahs.direct-ci.com
- dbruzzini85942@direct.anmedhealth.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
dba HackensackUMC Mountainside
- General Acute Care Hospital
- Montclair, NJ
- NPI 1982720249
-
dba St. Luke's Hospital - Allentown Campus
- General Acute Care Hospital
- Allentown, PA
- NPI 1548293954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1518944149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 HADDONFIELD BERLIN RD STE 210",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080433520",
"telephone_number": "856-782-2212",
"fax_number": "856-782-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HADDONFIELD BERLIN RD STE 210",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "08043",
"telephone_number": "856-782-2212",
"fax_number": "856-782-2266"
}
],
"practiceLocations": [
{
"address_1": "1000 Haddonfield Berlin Rd Ste 210",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "08043",
"country_code": "US",
"telephone_number": "856-782-2212",
"fax_number": "856-782-2266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUZZINI",
"first_name": "DANIEL",
"middle_name": "BLAISE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-24",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MO",
"license": "2001008796",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD466001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036137763",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01075127A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "R9339",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.