Individual provider Active NPI

Mirela Bruza-Augatis

  • Medical Physician Assistant
  • Hillsborough, NJ
National Provider Identifier
1730210741
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP0002322100 Issued in NJ
Practice address
71 Route 206
Hillsborough, NJ 08844-4142
Phone
(908) 685-1887
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 011628 NY
Medical Physician Assistant 363AM0700X 25MP0002322100 NJ Primary

Addresses

Primary practice location

71 Route 206
Hillsborough, NJ 08844-4142

Mailing address

71 Route 206
Hillsborough, NJ 08844-4142
Phone (908) 685-1887

Other names 1

  • Mirela Bruza Professional name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140530000028 NJ Practitioner - Physician Assistant 2264523851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunterdon Primary Care PCGroup PAC ID 4486951183, 62 clinicians

Practice addresses (Care Compare)

2100 Wescott Dr
Flemington, NJ 08822-4603
Phone (908) 284-1125

2100 Wescott Drive Mso 5TH FL
Flemington, NJ 08822-4603

71 US Hwy 206
Hillsborough, NJ 08844-4142
Phone (908) 685-1887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
011628NYMDClinical Psychologist
25MP0002322100NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Primary Care PC CurrentSince Jan 1, 2020 Accepting new patients
Hunterdon Primary Care PC CurrentSince Jan 1, 2020 Accepting new patients
Endocrinology, Diabetes & Metabolism, PLLC Past Accepting new patients

Locations

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

215 State Route 31
#116
Flemington, NJ 08822

71 US Highway 206
Hillsborough, NJ 08844
Phone (908) 685-1887

Interoperability endpoints

  • Direct secure messaging: mirela.bruzaaugatis.p52@direct.hunterdon.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1730210741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ROUTE 206",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444142",
            "telephone_number": "908-685-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 ROUTE 206",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444142",
            "telephone_number": "908-685-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUZA-AUGATIS",
        "first_name": "MIRELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "011628",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP0002322100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRELA",
            "last_name": "BRUZA",
            "credential": "RPA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.