Active NPI
Bruce Dumont Stamos, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Brick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 25MA06827100
- Practice address
- 457 Jack Martin Blvd
Brick, NJ 08724-7776 - Phone
- (732) 840-7500
- Fax
- (732) 840-2088
- NPI assigned
- Nov 8, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 25MA06827100 | NJ | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 25MA06827100 | NJ | Primary |
Addresses
Primary practice location
457 Jack Martin Blvd
Brick, NJ 08724-7776
Mailing address
457 Jack Martin Blvd
Brick, NJ 08724-7776
Phone (732) 840-7500
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Hahnemann University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2315 Route 34
Manasquan, NJ 08736-1444
Phone (732) 974-0404
457 Jack Martin Blvd
Suite 1
Brick, NJ 08724-7776
Phone (732) 840-7500
Hospital & facility affiliations
- Hackensack Meridian at Home Ocean County
- Ocean Medical Center
- Jersey Shore University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06827100 | NJ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthonj LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Rothman Institute of New Jersey, P.a. | Current | Accepting new patients | |
| Orthonj LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Rothman Orthopaedics of New Jersey, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Robert Wood Johnson Physician Enterprise | Past | Accepting new patients | |
| Surgical Institute, LLC | Past | Accepting new patients | |
| Sports Medicine New Jersey PA | Past | Accepting new patients |
Locations
457 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 840-7500
475 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 458-6600
765 Lacey Rd
Forked River, NJ 08731
Phone (732) 840-7500
1043 W Main St
Freehold, NJ 07728
Phone (732) 462-1900
2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404
999 Route 73 N
Ste 401
Marlton, NJ 08053
833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191
Interoperability endpoints
- bstamos425497@direct.ahsys.org
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Somerset, NJ
- NPI 1720557432
-
- Orthopaedic Surgery Physician
- Marlton, NJ
- NPI 1215978630
-
- Durable Medical Equipment & Medical Supplies
- Galloway, NJ
- NPI 1487448312
Orthopaedic Surgery
-
- Prosthetic/Orthotic Supplier
- Manahawkin, NJ
- NPI 1831611243
-
- Family Medicine Physician
- Somerset, NJ
- NPI 1245587922
-
- Sports Medicine (Internal Medicine) Physician
- Marlboro, NJ
- NPI 1386816056
-
- Ambulatory Surgical Clinic/Center
- Neptune, NJ
- NPI 1942231204
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brick, NJ
- NPI 1376638064
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1669453650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 JACK MARTIN BLVD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247776",
"telephone_number": "732-840-7500",
"fax_number": "732-840-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 JACK MARTIN BLVD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247776",
"telephone_number": "732-840-7500",
"fax_number": "732-840-2088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMOS",
"first_name": "BRUCE",
"middle_name": "DUMONT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "25MA06827100",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NJ",
"license": "25MA06827100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.