Individual provider Active NPI

Bruce D. Fisher, M.D.

  • Infectious Disease Physician
  • Neptune, NJ
National Provider Identifier
1861401135
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA03611300 Issued in NJ
Practice address
1945 Route 33
Department of Medicine - Jersey Shore Univ Med Ctr
Neptune, NJ 07753-0397
Phone
(732) 776-4420
Fax
(732) 776-3795
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 25MA03611300 NJ Primary

Addresses

Primary practice location

1945 Route 33
Department of Medicine - Jersey Shore Univ Med Ctr
Neptune, NJ 07753-0397

Mailing address

1945 Route 33
Department of Medicine - Jersey Shore Univ Med Ctr
Neptune, NJ 07754-0397
Phone (732) 776-4420

Other identifiers 1

IdentifierTypeStateIssuer
1641701MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03611300NJMDInfectious Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1861401135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 ROUTE 33",
            "address_2": "DEPARTMENT OF MEDICINE - JERSEY SHORE UNIV MED CTR",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077540397",
            "telephone_number": "732-776-4420",
            "fax_number": "732-776-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 ROUTE 33",
            "address_2": "DEPARTMENT OF MEDICINE - JERSEY SHORE UNIV MED CTR",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077530397",
            "telephone_number": "732-776-4420",
            "fax_number": "732-776-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "BRUCE",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA03611300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1641701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.