Individual provider Active NPI

Irvin M Bonder, MD

  • Urology Physician
  • Rockaway, NJ
National Provider Identifier
1740257732
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA04260000 Issued in NJ
Practice address
333 Mount Hope Ave
Suite 250
Rockaway, NJ 07866-1645
Phone
(973) 895-6636
Fax
(973) 895-5327
NPI assigned
Mar 8, 2006
Last updated
Aug 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA04260000 NJ
Urology Physician 208800000X 25MA04260000 NJ Primary

Addresses

Primary practice location

333 Mount Hope Ave
Suite 250
Rockaway, NJ 07866-1645

Mailing address

333 Mount Hope Ave
Suite 250
Rockaway, NJ 07866-1645
Phone (973) 895-6636

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
I20080813000529 NJ Practitioner - Urology 9436198900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

629 Cranbury Rd
FL 2
East Brunswick, NJ 08816-4096

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04260000NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Morris County LLC Urology CurrentSince Jul 1, 2020 Accepting new patients
Garden State Urology LLC Urology CurrentSince Aug 1, 2008 Accepting new patients
Morris County Surgical Center LLC PastSince Sep 28, 2009 Accepting new patients

Locations

282 Route 46
Denville, NJ 07834
Phone (973) 627-4055

23 Pocono Rd
Ste 100
Denville, NJ 07834
Phone (973) 316-1701

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818

261 James St
Ste 1A
Morristown, NJ 07960
Phone (973) 539-0333

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

33 Newton Sparta Rd
Ste 2
Newton, NJ 07860
Phone (973) 627-4055

333 Mount Hope Ave
Ste 250
Rockaway, NJ 07866
Phone (973) 895-6636

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc35130_gardenstateurology

Organizations & group practices 3

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 2

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1740257732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MOUNT HOPE AVE",
            "address_2": "SUITE 250",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661645",
            "telephone_number": "973-895-6636",
            "fax_number": "973-895-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MOUNT HOPE AVE",
            "address_2": "SUITE 250",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661645",
            "telephone_number": "973-895-6636",
            "fax_number": "973-895-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDER",
        "first_name": "IRVIN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04260000",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA04260000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

Verify at the official NPI Registry.