Active NPI
Bruce Pomeranz, M.D.
- Physical Medicine & Rehabilitation Physician
- Saddle Brook, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 25MA05980300
- Practice address
- 300 Market St
Saddle Brook, NJ 07663-5309 - Phone
- (201) 368-6047
- NPI assigned
- Oct 12, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MA05980300 | NJ | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 25MA05980300 | NJ | |
| Electrodiagnostic Medicine Physician | 204R00000X | 25MA05980300 | NJ |
Addresses
Primary practice location
300 Market St
Saddle Brook, NJ 07663-5309
Mailing address
4716 Old Gettysburg Rd
Legal Department
Mechanicsburg, PA 17055-4325
Phone (717) 972-1139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004375 | Medicaid | NJ |
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
- Physical Medicine and Rehabilitation
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1199 Pleasant Valley Way
West Orange, NJ 07052-1424
Phone (973) 731-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05980300 | NJ | MD | Electrodiagnostic Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kessler Professional Services LLC | Current | Accepting new patients |
Locations
240 Central Ave
East Orange, NJ 07018
Phone (973) 414-3473
300 Market St
Saddle Brook, NJ 07663
Phone (201) 368-6000
1199 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 414-4755
4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332
Interoperability endpoints
- brucepomeranz@kps.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Specialist
- West Orange, NJ
- NPI 1508804048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1710975859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4716 OLD GETTYSBURG RD",
"address_2": "LEGAL DEPARTMENT",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554325",
"telephone_number": "717-972-1139",
"fax_number": "717-975-9981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MARKET ST",
"city": "SADDLE BROOK",
"state": "NJ",
"postal_code": "076635309",
"telephone_number": "201-368-6047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMERANZ",
"first_name": "BRUCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "25MA05980300",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NJ",
"license": "25MA05980300",
"primary": false
},
{
"code": "204R00000X",
"taxonomy_group": "",
"desc": "Electrodiagnostic Medicine",
"state": "NJ",
"license": "25MA05980300",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0004375",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saddle Brook, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.