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Deactivated NPI 1164509444 Deactivated / Inactive NPI Male Practitioner

Dr. Basil Bruno , MD

Pediatrics • Rochelle Park, NJ

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Basil Bruno has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 01, 2006
NPI Deactivation Date April 13, 2026
Total Practice Duration ~37 Years of Practice (1989 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Basil Bruno, MD was a registered Pediatrics practicing in Rochelle Park, NJ. Throughout an active medical career spanning 37 years, Dr. Bruno provided care at the practice location at 18 RAILROAD AVE until profile deactivation on 2026-04-13.

Dr. Bruno accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen, outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

18 Railroad Ave
Suite 103

Rochelle Park, NJ 076624105

Telephone 2019280748
Fax 2019280842

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Rochelle Park, NJ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
37 Yrs Matches City Avg
City Avg: 37.0 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Rochelle Park, NJ (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bruno (37 Years) 37 Yrs
Rochelle Park Specialty Average (37.0 Years) 37.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
16 12 $325.94 $145.13

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NJ 25MA05505300

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License NJ MA055053

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License NY 270553

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
6029701 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1386646768

Doctor of Medicine (M.D.)

NPI 1417081068

Doctor of Medicine (M.D.)

NPI 1669464657

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
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NPI Profile Reactivated April 29, 2026

Record officially reactivated for active practice on April 29, 2026

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2026

Family Medicine (License #MA055053 in NJ)

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NPI Profile Deactivated April 13, 2026

Record deactivated on April 13, 2026

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2019

Family Medicine (License #270553 in NY)

NPI Profile Active August 17, 2017

NPI status registered as active in NPPES database

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Updated Practice Location August 17, 2017

Registered at 18 RAILROAD AVE, SUITE 103, ROCHELLE PARK, NJ 076624105 (Tel: 2019280748)

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Updated Business Mailing Address August 17, 2017

Registered at 18 RAILROAD AVE, SUITE 103, ROCHELLE PARK, NJ 076624105 (Tel: 2019280748)

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Provider Name / Credentials Updated August 17, 2017

Recorded as BASIL BRUNO, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2017

Family Medicine (License #MA055053 in NJ)

NPI Profile Active January 23, 2013

NPI status registered as active in NPPES database

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Updated Practice Location January 23, 2013

Registered at 18 RAILROAD AVE, SUITE 103, ROCHELLE PARK, NJ 076624105 (Tel: 2019280748)

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Updated Business Mailing Address January 23, 2013

Registered at 18 RAILROAD AVE, SUITE 103, ROCHELLE PARK, NJ 076624105 (Tel: 2019280748)

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Provider Name / Credentials Updated January 23, 2013

Recorded as BASIL BRUNO, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2013

Pediatrics (License #25MA05505300 in NJ)

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Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164509444
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: April 29, 2026
Deactivation Date: April 13, 2026
Sole Proprietor: No

Mailing Address

18 Railroad Ave, Suite 103

Rochelle Park, NJ 076624105

Phone: 2019280748

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.