NPIMap

Individual provider Active NPI

Robert Stephen Boretz, MD

  • Orthopaedic Hand Surgery Physician
  • Bridgewater, NJ
National Provider Identifier
1992709760
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
25MA07211900 Issued in NJ
Practice address
762 US Highway 202/206
Bridgewater, NJ 08807-1773
Phone
(908) 429-7600
Fax
(908) 429-7960
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 25MA07211900 NJ Primary

Addresses

Primary practice location

762 US Highway 202/206
Bridgewater, NJ 08807-1773

Mailing address

762 US Highway 202/206
Bridgewater, NJ 08807-1773
Phone (908) 429-7600

Other identifiers 1

IdentifierTypeStateIssuer
841666216OtherNJTID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050304000008 NJ Practitioner - Orthopedic Surgery 1557315348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York Downstate Medical Center, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048
  • Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)85
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07211900NJMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince May 6, 2013 Accepting new patients
Summit Medical Group PA Hand Surgery CurrentSince May 6, 2013 Accepting new patients
Orthopedic Group, P.a. Hand Surgery Past Accepting new patients
Center for Orthopedic Care P a PastSince Apr 30, 2003 Accepting new patients
Hiramoto Orthopaedic & Sports Medicine PA Past Accepting new patients
Biosport Orthopaedic & Sports Medicine Associates, P.a. Past Accepting new patients
Summit Medical Group, Inc Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

630 Commons Way
Bridgewater, NJ 08807
Phone (908) 603-8697

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

Interoperability endpoints

  • Direct secure messaging: rboretz53756@epicdirect.rwjbh.org
  • Direct secure messaging: robert.boretz.1@2983.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1992709760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 US HIGHWAY 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071773",
            "telephone_number": "908-429-7600",
            "fax_number": "908-429-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 US HIGHWAY 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071773",
            "telephone_number": "908-429-7600",
            "fax_number": "908-429-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORETZ",
        "first_name": "ROBERT",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NJ",
            "license": "25MA07211900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TID",
            "identifier": "841666216",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.