Individual provider Active NPI

Robert David Brady, DO

  • Specialist
  • Rutherford, NJ
National Provider Identifier
1851335319
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MB069496 Issued in NJ
Practice address
84 Orient Way
Rutherford, NJ 07070-2052
Phone
(201) 964-0200
Fax
(201) 964-0220
NPI assigned
Jun 15, 2006
Last updated
Jan 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MB069496 NJ Primary

Addresses

Primary practice location

84 Orient Way
Rutherford, NJ 07070-2052

Mailing address

84 Orient Way
Rutherford, NJ 07070-2052
Phone (201) 964-0200

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
I20050810000873 NJ Practitioner - Physical Medicine and Rehabilitation 4183684624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Rowan University School of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

84 Orient Way
Advocare New Jersey Spine and Sport
Rutherford, NJ 07070-2052
Phone (201) 964-0200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB069496NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC CurrentSince Aug 1, 2016 Accepting new patients
Advocare , LLC CurrentSince Aug 1, 2016 Accepting new patients
Advocare, LLC Past Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

84 Orient Way
Rutherford, NJ 07070
Phone (201) 514-4900

Interoperability endpoints

  • Direct secure messaging: robert.brady@advocaredoctors.eclinicaldirectplus.com

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1851335319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 ORIENT WAY",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702052",
            "telephone_number": "201-964-0200",
            "fax_number": "201-964-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 ORIENT WAY",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702052",
            "telephone_number": "201-964-0200",
            "fax_number": "201-964-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MB069496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.