BRUCE KEVIN BENNETT (NPI# 1770518441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770518441 |
| Entity Type | Individual |
| Full Name | BRUCE KEVIN BENNETT |
| Credential | MD |
| Practice Address |
220 Hamburg Tpke Wayne NJ 07470-2110 |
| Mailing Address |
716 Broad St Clifton NJ 07013-1645 |
| Practice Telephone | 9737908090 |
| Practice Fax Number | 9737903198 |
| Mailing Telephone | 9737771444 |
| Mailing Fax Number | 9737774488 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2009-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 25MA06066100 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6233007 | 05 | |
| NJ | UNIVERSITY HEALTH PLANS | 39114 | 01 |
| NJ | GROUP NPI | 1790731271 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669486049 | Bruce Chisholm Bennett | Dentist | 625 West Rollins Rd, Round Lake Beach, IL 60073 | 2006-07-28 |
| 1225007818 | Bruce Wayne Bennett | Family Medicine | 3333 Brookview Hills Blvd Ste 204, Winston Salem, NC 27103-5661 | 2006-03-16 |
| 1720605397 | Bruce Adam Bennett | Registered Nurse | 610 Lincoln St, Centerville, SD 57014-2040 | 2020-06-30 |
| 1245387950 | Bruce S Bennett | Nurse Anesthetist, Certified Registered | 101 Dudley St, Providence, RI 02905-2401 | 2007-01-04 |
| 1952401713 | Bruce C Bennett | Psychiatry & Neurology | 1020 E 2nd St, Suite 100, Casper, WY 82601-2946 | 2006-09-22 |
| 1316960859 | Bruce Alan Bennett | Physician Assistant | 421 N Main St, Leeds, MA 01053-9764 | 2006-07-25 |
| 1225050073 | Bruce E Bennett | Nurse Anesthetist, Certified Registered | 830 Washington St, Watertown, NY 13601-4066 | 2006-07-24 |
| 1750356622 | Bruce A Bennett | Surgery | 401 Phalen Blvd, Mail Stop 41104a, St Paul, MN 55101-5302 | 2006-02-22 |
| Street Address |
220 HAMBURG TPKE |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033117171 | Joseph Duffy | Emergency Medicine | 220 Hamburg Tpke, Suite 14, Wayne, NJ 07470-2110 | 2005-07-12 |
| 1952771727 | Best Assist, LLC | Obstetrics & Gynecology | 220 Hamburg Tpke, Suite 21, Wayne, NJ 07470-2110 | 2015-10-05 |
| 1790154540 | Robert Costello Md LLC | Internal Medicine | 220 Hamburg Tpke, Suite 8, Wayne, NJ 07470-2110 | 2015-09-23 |
| 1477939684 | Frank L. Kardos Md,pa | Otolaryngology | 220 Hamburg Tpke, Ste 23, Wayne, NJ 07470-2110 | 2015-08-11 |
| 1962892968 | Erwin Douyon, Md, PC | Surgery | 220 Hamburg Tpke, Suite 11, Wayne, NJ 07470-2110 | 2015-01-28 |
| 1326454638 | Robert Costello | Internal Medicine | 220 Hamburg Tpke, Suite 8, Wayne, NJ 07470-2110 | 2014-07-08 |
| 1699902692 | Advanced Eye Care Center | Durable Medical Equipment & Medical Supplies | 220 Hamburg Tpke, Suite 7, Wayne, NJ 07470-2110 | 2009-06-17 |
| 1407095953 | Abas Rezvani M.d., Pa | Specialist | 220 Hamburg Tpke, Suite Number 10, Wayne, NJ 07470-2110 | 2009-02-06 |
| 1649420464 | Erwin Douyon | Surgery | 220 Hamburg Tpke, Suite 11, Wayne, NJ 07470-2110 | 2008-09-29 |
| 1275714511 | Philip J. Filippis, M.d., P.C. | Nurse Practitioner | 220 Hamburg Tpke, Suite 2, Wayne, NJ 07470-2110 | 2007-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669843892 | Sarah Barber | Obstetrics & Gynecology | 57 Willowbrook Blvd Ste 301, Wayne, NJ 07470-7047 | 2015-10-14 |
| 1912299777 | Athena Healthcare Group LLC | Obstetrics & Gynecology | 145 Rte 46 W, Suite 304, Wayne, NJ 07470-6830 | 2011-05-11 |
| 1043525439 | Diana Rodrigues Vitale | Obstetrics & Gynecology | 502 Valley Rd, Suite 106, Wayne, NJ 07470-3509 | 2010-08-10 |
| 1942467378 | John W. Armstead M.d. PC | Obstetrics & Gynecology | 4020 Venoy Rd., Suite 400, Wayne, MI 48184-1891 | 2008-05-22 |
| 1073666129 | Nawal M Desoky | Obstetrics & Gynecology | 2411 Hamburg Tpke, Wayne, NJ 07470-6225 | 2007-01-20 |
| 1972671170 | Debra L Rosenzweig | Obstetrics & Gynecology | 2035 Hamburg Turnpike, Ste C, Wayne, NJ 07405 | 2006-12-04 |
| 1386732600 | Sonia M Gof | Obstetrics & Gynecology | 510 Hamburg Tnpk, Suite 202, Wayne, NJ 07470 | 2006-10-11 |
| 1528092608 | Les A Burns | Obstetrics & Gynecology | 1784 Hamburg Tpke, Wayne, NJ 07470 | 2006-07-11 |
| 1801826987 | Cameron A Darvish Do Ms PC | Obstetrics & Gynecology | 401 Hamburg Turnpike, Suite 309, Wayne, NJ 07470 | 2006-07-04 |
| 1194794412 | Adilakshmi Kaza | Obstetrics & Gynecology | 4020 Venoy Rd, Suite 400, Wayne, MI 48184-1869 | 2006-03-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.