Organization Active NPI

Gerald I Bresner PC

  • Primary Podiatric Medicine Podiatrist
  • Denville, NJ
National Provider Identifier
1669612099
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
25MD00085700 Issued in NJ
Legal business name
GERALD I BRESNER PC
Practice address
75 Bloomfield Ave
Ste 106
Denville, NJ 07834-2735
Phone
(973) 627-7090
Fax
(973) 625-7767
NPI assigned
Feb 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Dr. Gerald I Bresner, DPMNPI 1063432193
Title
President
Phone
(973) 627-7090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 25MD00085700 NJ Primary

Addresses

Primary practice location

75 Bloomfield Ave
Ste 106
Denville, NJ 07834-2735

Mailing address

75 Bloomfield Ave
Ste 106
Denville, NJ 07834-2735
Phone (973) 627-7090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130227000173 NJ Part B Supplier - Clinic/Group Practice 6204043235 Receives reassigned benefits from 1 practitioner
Practice locations: Andover, NJ; Mt Arlington, NJ; Denville, NJ

National Provider Directory

National Provider Directory

Locations

75 Bloomfield Ave
Ste 106
Denville, NJ 07834
Phone (973) 627-7090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1669612099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BLOOMFIELD AVE",
            "address_2": "STE 106",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342735",
            "telephone_number": "973-627-7090",
            "fax_number": "973-625-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BLOOMFIELD AVE",
            "address_2": "STE 106",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342735",
            "telephone_number": "973-627-7090",
            "fax_number": "973-625-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD I BRESNER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "BRESNER",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-627-7090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00085700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.