Individual provider Active NPI

Stephen L Bushay, MD

  • Family Medicine Physician
  • Northfield, NJ
National Provider Identifier
1699867382
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA07709900 Issued in NJ
Practice address
1601 Tilton Rd
Northfield, NJ 08225-1877
Phone
(609) 569-1900
Fax
(609) 569-1404
NPI assigned
Sep 29, 2006
Last updated
Jan 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA07709900 NJ Primary

Addresses

Primary practice location

1601 Tilton Rd
Northfield, NJ 08225-1877

Mailing address

1601 Tilton Rd
Northfield, NJ 08225-1877
Phone (609) 569-1900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000226 NJ Practitioner - Family Practice 0143289702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

2500 English Creek Ave
Suite 909
Egg Harbor Township, NJ 08234-5587
Phone (609) 407-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA07709900NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Jun 1, 2007 Accepting new patients
Atlanticare Physician Group PA Family Medicine Current Accepting new patients
Atlanticare Physician Group CurrentSince Jun 1, 2007 Accepting new patients
Atlanticare Physician Group Past Accepting new patients

Locations

2500 English Creek Ave
Ste 909
Egg Harbor Twp, NJ 08234
Phone (609) 407-2380

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1601 Tilton Rd
Northfield, NJ 08225
Phone (609) 407-1600

802 Tilton Rd
Ste 102
Northfield, NJ 08225
Phone (609) 377-8074

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1699867382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251877",
            "telephone_number": "609-569-1900",
            "fax_number": "609-569-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251877",
            "telephone_number": "609-569-1900",
            "fax_number": "609-569-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHAY",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA07709900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

Verify at the official NPI Registry.