Bruce a. Decotiis MD PA

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

BRUCE A. DECOTIIS MD PA

Practice address

1673 Route 88
Brick, NJ 08724-3050

Phone

(732) 458-2000

Fax

(732) 458-4523

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bruce A Decotiis, M.D.

Title

President

Phone

(732) 458-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Anthony Fernandez

  • Allergy & Immunology Physician
  • Brick, NJ
  • NPI 1902366529
  NPD (past)
• Lisa Wydra

  • Family Nurse Practitioner
  • Hazlet, NJ
  • NPI 1780916916
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1861579559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 ROUTE 88 W",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243050",
            "telephone_number": "732-458-2000",
            "fax_number": "732-458-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243050",
            "telephone_number": "732-458-2000",
            "fax_number": "732-458-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A. DECOTIIS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "DECOTIIS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-458-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mutahannah Broomes
• Erin Brophy, LAC
• Daniel J Brouder, MD
• Heidi Ann Brown, DPT
• Lorri Ann Brown, BA
• Steven Thomas Bruckner, RPH
• Robert Bruno, D.O.
• Brandon Brusino, DPT
• BRX LLC
• Tara Rahdika Bryan, MSW, LSW

• Allergy & Immunology Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• Allergy & Immunology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.