Active NPIIndividual providerSole proprietor

Charles R Bushong Jr., MD

Pediatrics in Denville, New Jersey

NPI Number1023021045
Practice location
16 Pocono RD, Suite 214, Denville, NJ 07834-2901
Fax
—
Last updated
July 3, 2015

Charles Robert Bushong is a Pediatrics based in Denville, NJ. Charles Robert Bushong practices in Denville, NJ and has the professional credentials of MD. The NPI Number for Charles Robert Bushong is 1023021045 and holds a License No. 25MA03472800 (NJ). The current practice location address for Charles Robert Bushong is 16 Pocono RD, Suite 214, Denville, NJ 07834-2901 and can be reached out via phone at 973-627-6129.

Provider Profile Details

NPI Number
1023021045
Provider Name
Charles Robert Bushong
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
16 Pocono RD, Suite 214, Denville, NJ 07834-2901
Phone Number
973-627-6129
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
August 14, 2006
Last Update Date
July 3, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Pocono RD
Suite 214
Denville, NJ 07834-2901
Zip
07834-2901
Phone Number
973-627-6129
Denville, NJ 07834Get directions →

Provider Business Mailing Address Details

Address
16 Pocono RD
Suite 214
Denville, NJ 07834-2901
City
Denville
State
NJ
Zip
07834-2901
Phone Number
973-627-6129

License Information

License Number
25MA03472800
License State
NJ
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Charles R Bushong Jr., MD?

The NPI number of Charles R Bushong Jr., MD is 1023021045. It was assigned on August 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Charles R Bushong Jr., MD?

Charles R Bushong Jr., MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA03472800.

Where does Charles R Bushong Jr., MD practice?

The practice location is 16 Pocono RD, Suite 214, Denville, NJ 07834-2901. The office can be reached at 973-627-6129 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023021045 directly on the NPPES registry website.

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