Harold M Bruck, Mdpa

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

MA01983400 Issued in NJ

Legal business name

HAROLD M BRUCK, MDPA

Practice address

385 S Maple Ave
Glen Rock, NJ 07452-1543

Phone

(201) 652-2800

NPI assigned

Sep 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Harold M Bruck

Title

M.D.

Phone

(201) 652-2800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1538477195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 S MAPLE AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521543",
            "telephone_number": "201-652-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 S MAPLE AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521543",
            "telephone_number": "201-652-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD M BRUCK, MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "BRUCK",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "201-652-2800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "MA01983400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiraag Gupta, MD
• Ahmed S Hadi, M.D.
• Stephen F Haggerty, D.D.S.
• Laiann Aiman Hamdan, PA-C
• Alexandra Legregin Harkins
• Jane L. Harris, JANE HARRIS
• Devin Haywood
• Joan Ann Heimrich, SLP/CCC
• Beverly A Herman Rivera, RD CDE
• Purnima Hernandez Sr., DDS

• Ambulatory Surgical Clinic/Center in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.