DR. DAVID BROMBERG (NPI# 1376586412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376586412 |
| Entity Type | Individual |
| Full Name | DR. DAVID BROMBERG |
| Credential | M.D. |
| Practice Address |
292 Hurffville Grenloch Rd Suite 100 Sewell NJ 08080-2656 |
| Practice Telephone | 8565899200 |
| Practice Fax Number | 8565891437 |
| Mailing Telephone | 8565899200 |
| Mailing Fax Number | 8565891437 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
32161 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386132173 | David Bromberg | Clinical Exercise Physiologist | 2801 Rock Creek Pkwy, Kansas City, MO 64117-2520 | 2018-04-26 |
| 1942542618 | David Jeremy Bromberg | Internal Medicine | 259 E Erie St Ste 1600, Chicago, IL 60611-3111 | 2013-03-20 |
| 1164684718 | David Bromberg | Psychologist | 100 S Broad St, Suite 1700, Philadelphia, PA 19110-1023 | 2008-06-25 |
| 1205830833 | David Bromberg | Pediatrics | 1475 Taney Ave, Ste 201, Frederick, MD 21702-5126 | 2005-06-10 |
| Street Address |
292 HURFFVILLE GRENLOCH RD SUITE 100 |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-2656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922416387 | Jan Czerepak | Otolaryngology | 325 Molnar Dr, Elmwood Park, NJ 07407-3207 | 2014-07-30 |
| 1386968220 | Lawrence Gordon Md Pllc | Otolaryngology | 521 Route 515, Vernon, NJ 07462-3033 | 2010-03-22 |
| 1093953762 | Alan M. Tell, Md | Otolaryngology | 140 Prospect Ave., Suite 7, Hackensack, NJ 07601-2260 | 2009-02-03 |
| 1093872640 | Frank S Dimauro | Otolaryngology | 106 E Jimmie Leeds Rd, Galloway, NJ 08205-9508 | 2007-01-02 |
| 1770507337 | Scott L Busch | Otolaryngology | 1797 Springdale Rd, Cherry Hill, NJ 08003-2136 | 2006-07-27 |
| 1013940717 | Scott Richard Schaffer | Otolaryngology | 406 Lippincott Dr Ste F, Marlton, NJ 08053-4168 | 2006-07-08 |
| 1871551812 | Francis Michael Jampol | Otolaryngology | 900 Lanidex Plz Ste 300, Parsippany, NJ 07054-2707 | 2006-05-01 |
| 1467428623 | Alvin Daniel Dubin | Otolaryngology | 1924 Route 70 E, Cherry Hill, NJ 08003-2118 | 2006-02-27 |
| 1568441988 | Amy D. Lazar | Otolaryngology | 245 Us Highway 22 Fl 3, Bridgewater, NJ 08807-2560 | 2006-01-13 |
| 1730177676 | Sigmund L. Sattenspiel | Otolaryngology | 1050 W Main St, Freehold, NJ 07728-2509 | 2005-10-13 |
| Find all providers with the same taxonomy | ||||
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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.