Active NPI
Bruce J Biederman, MD
- Diagnostic Radiology Physician
- Oceanside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA07983200
- Practice address
- 4002 Vista Way
Oceanside, CA 92056-4506 - Phone
- (760) 940-4055
- NPI assigned
- Jun 15, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA07983200 | NJ | Primary |
Addresses
Primary practice location
4002 Vista Way
Oceanside, CA 92056-4506
Mailing address
8745 Aero Dr
Suite 200
San Diego, CA 92123-1761
Other practice location 1
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0091693 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060123000863 | NJ | Practitioner - Diagnostic Radiology | 3779507769 | Reassigns benefits to 1 organization |
| I20090505000530 | CA | Practitioner - Diagnostic Radiology | 3779507769 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- George Washington University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ancillary Services of Practice Associates PA
Practice addresses (Care Compare)
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5370
2171 Del Mar Heights Rd
Del Mar, CA 92014-3019
Phone (973) 971-5370
Hospital & facility affiliations
- Morristown Medical Center
- Chilton Medical Center
- Overlook Medical Center
- Newton Medical Center
- Ahs Hospital Corp
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52940 | CA | MD | Pharmacist |
| 25MA07983200 | NJ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Imaging Services LLC | Body Imaging | Current | Accepting new patients |
| Ancillary Services of Practice Associates PA | Body Imaging | Current | Accepting new patients |
| Hunterdon Ambulatory Services LLC | Current | Accepting new patients | |
| Women'S Healthcare Imaging, Corp. | Current | Accepting new patients | |
| Imaging Specialists of New Orleans | Diagnostic Radiology | Past | Accepting new patients |
| Shore Memorial Hospital | Past | Accepting new patients | |
| Practice Associates Medical Group | Past | Accepting new patients | |
| Atlanticare Regional Medical Center | Past | Accepting new patients | |
| Atlantic Radiologist PA | Diagnostic Radiology | Past | Accepting new patients |
| Atlantic Medical Imaging | Past | Accepting new patients | |
| San Diego Diagnostic Radiology Medical Group Inc | Body Imaging | Past | Accepting new patients |
Locations
471 Broadway
Ste 400
Bayonne, NJ 07002
Phone (973) 436-0511
1121 Route 22
Ste 103
Bridgewater, NJ 08807
Phone (908) 237-4001
100 Commerce Pl
Clark, NJ 07066
Phone (732) 388-2620
140 Central Ave
Ste 600
Clark, NJ 07066
Phone (732) 943-5030
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130
3025 Paramus Park Mall
Ste 300
Paramus, NJ 07652
Phone (201) 267-6889
10 Lanidex Plz W
Ste 125
Parsippany, NJ 07054
Phone (973) 267-1274
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280
Interoperability endpoints
- bbiederman479656@direct.ahsys.org
Organizations & group practices 11
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.
-
- Diagnostic Radiology Physician
- Morristown, NJ
- NPI 1144858408
Body Imaging, CA, NJ
-
- Diagnostic Radiology Physician
- Morristown, NJ
- NPI 1972114361
Body Imaging
-
- Radiology Clinic/Center
- Bridgewater, NJ
- NPI 1184149031
-
- Radiology Clinic/Center
- Union, NJ
- NPI 1285880153
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1326075375
Body Imaging
-
- Specialist
- Galloway, NJ
- NPI 1396771556
-
- Anesthesiology Physician
- Pomona, NJ
- NPI 1710930102
-
- Diagnostic Radiology Physician
- New Orleans, LA
- NPI 1841296993
Diagnostic Radiology
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
-
- General Acute Care Hospital
- Somers Point, NJ
- NPI 1629070149
Hospital & facility affiliations 5
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": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1790780997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8745 AERO DR",
"address_2": "SUITE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4002 VISTA WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564506",
"telephone_number": "760-940-4055"
}
],
"practiceLocations": [
{
"address_1": "100 Madison Ave",
"address_purpose": "LOCATION",
"city": "Morristown",
"state": "NJ",
"postal_code": "079606136",
"country_code": "US",
"telephone_number": "973-971-5370",
"fax_number": "973-290-7294",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIEDERMAN",
"first_name": "BRUCE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA07983200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0091693",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.