Stephanus Busono (NPI# 1306888953, PAC ID# 9032148572) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1306888953 |
| PAC ID by PECOS | 9032148572 |
| Professional Enrollment ID | I20100302000057 |
| Full Name | Stephanus Busono |
| Organization Legal Name | PRINCETON AND RUTGER NEUROLOGY, P.A. |
| Address |
77 Veronica Ave Suite 102 Somerset NJ 08873-6804 |
| Phone Number | 7322461311 |
| Gender | M |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 1993 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 6103881883 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310070 | SAINT PETER'S UNIVERSITY HOSPITAL |
| 310038 | ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 77 Veronica Ave, Suite 102, Somerset, NJ 08873-6804 | 7322461311 | PRINCETON AND RUTGER NEUROLOGY, P.A. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_294_overall | Parkinson's Disease: Parkinson's Disease Medical and Surgical Treatment Options Reviewed | 100% |
| Organization Legal Name | PRINCETON AND RUTGER NEUROLOGY, P.A. |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seema Dixit | Neurology | Princeton and Rutger Neurology, P.a. | 9 Centre Dr, Suite 130, Monroe Township, NJ 08831-5154 |
| Margaret Mullen | Nurse Practitioner | Princeton and Rutger Neurology, P.a. | 51 Veronica Ave, Somerset, NJ 08873-3448 |
| Roger Behar | Neurology | Princeton and Rutger Neurology, P.a. | 51 Veronica Ave, Somerset, NJ 08873-3448 |
| Joshua Hersh | Neurology | Princeton and Rutger Neurology, P.a. | 9 Centre Dr, Suite 130, Monroe Township, NJ 08831-5154 |
| Devin Friedlander | Neurology | Princeton and Rutger Neurology, P.a. | 9 Centre Dr, Suite 130, Monroe Township, NJ 08831-5154 |
| E Jeffrey Greenberg | Neurology | Princeton and Rutger Neurology, P.a. | 51 Veronica Ave, Somerset, NJ 08873-3448 |
| Georgy Cherkassky | Neurology | Princeton and Rutger Neurology, P.a. | 77 Veronica Ave, Suite 102, Somerset, NJ 08873-6804 |
| Jennifer Esena | Nurse Practitioner | Princeton and Rutger Neurology, P.a. | 51 Veronica Ave, Somerset, NJ 08873-3448 |
| Shefali N Gandhi | Neurology | Princeton and Rutger Neurology, P.a. | 77 Veronica Ave, Suite 102, Somerset, NJ 08873-6804 |
| Matthew Menken | Neurology | Princeton and Rutger Neurology, P.a. | 601 Ewing St, B5, Princeton, NJ 08540-2755 |
| Street Address |
77 VERONICA AVE SUITE 102 |
| City | SOMERSET |
| State | NJ |
| Zip | 08873-6804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Georgy Cherkassky | Neurology | Princeton and Rutger Neurology, P.a. | 77 Veronica Ave, Suite 102, Somerset, NJ 08873-6804 |
| Shefali N Gandhi | Neurology | Princeton and Rutger Neurology, P.a. | 77 Veronica Ave, Suite 102, Somerset, NJ 08873-6804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Syed Q Shamim | Gastroenterology | 1283 Hwy 27, Somerset, NJ 08873 | |
| Ekta Rawal | Physical Therapy | 370 Campus Dr, Somerset, NJ 08873-1128 | |
| Vincent D Sferra | Chiropractic | Natural Medicine and Rehabilitation Center, Pa | 399 Campus Dr, Suite 110, Somerset, NJ 08873-1168 |
| Rupa Patel | Physical Therapy | Natural Medicine and Rehabilitation Center, Pa | 399 Campus Dr, Suite 110, Somerset, NJ 08873-1168 |
| Arun M Kandra | Interventional Pain Management | North East Anesthesia and Pain Associates LLC | 399 Campus Dr, Suite 110, Somerset, NJ 08873-1168 |
| Vivek T Das | Pain Management | North East Anesthesia and Pain Associates LLC | 399 Campus Dr, Suite 110, Somerset, NJ 08873-1168 |
| Kevin A Kurtz | Physical Therapy | Somerset Family Physical Therapy Inc | 14 Worlds Fair Dr, Suite M, Somerset, NJ 08873-1300 |
| Yasmin Abd Elhady | Physical Therapy | Somerset Family Physical Therapy Inc | 14 Worlds Fair Dr, Suite M, Somerset, NJ 08873-1300 |
| Ruby Abraham | Psychiatry | Center for Family Guidance, PC | 100 Davidson Ave, Suite 101, Somerset, NJ 08873-1312 |
| Michael F Vonpoelnitz | Psychiatry | Center for Family Guidance, PC | 100 Davidson Ave, Suite 101, Somerset, NJ 08873-1312 |
| Find all physicians in zip 08873 | |||
| City | SOMERSET |
| Zip Code | 08873 |
| Specialty | NEUROLOGY |
| City + Specialty | SOMERSET + NEUROLOGY |
Please comment or provide details below to improve the information on Stephanus Busono.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.