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DR. ANTHONY PROUSI DDS, MD
NPI 1992934830
Dentist - Oral and Maxillofacial Surgery in Burlington, NJ

Active since July 14, 2009Opted out of Medicare · through Jun 30, 2027
1900 MOUNT HOLLY ROAD, BLDG 500, BURLINGTON, NJ 08016(609) 526-8650(609) 526-8640 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 22, 2017 (2 updates tracked since 2017).

About Dr. Anthony Prousi Dds, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANTHONY PROUSI DDS, MD (NPI 1992934830) is an individual oral and maxillofacial surgery provider in Burlington, New Jersey, licensed in Pennsylvania (DS037334) and active in the NPI registry since July 2009. He has opted out of Medicare through June 30, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992934830
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ANTHONY PROUSICredential: DDS, MD
Location Address1900 MOUNT HOLLY ROAD, BLDG 500Burlington, NJ 08016
Mailing Address1900 Mount Holly Road, Bldg 500Burlington, NJ 08016 · (609) 526-8650 · Fax (609) 526-8640
Phone(609) 526-8650
Fax(609) 526-8640
Sole ProprietorYes
Enumeration DateJuly 14, 2009
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1992934830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in PA · DS037334
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License DI02541600 (NJ)
1900 MOUNT HOLLY ROAD, BLDG 500, Burlington, NJ 08016
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Anthony Prousi Dds, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 30, 2017 through June 30, 2027.

Opt-Out Effective DateJune 30, 2017
Opt-Out In Effect ThroughJune 30, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Prousi's NPI number?

The NPI number for Anthony Prousi is 1992934830. It was assigned to this individual provider in the NPPES registry on July 14, 2009.

Where is Anthony Prousi located?

Anthony Prousi practices at 1900 Mount Holly Road, Bldg 500, Burlington, NJ 08016. The listed phone number is (609) 526-8650.

What is Anthony Prousi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Anthony Prousi enrolled in Medicare?

No. Anthony Prousi has opted out of Medicare through June 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Anthony Prousi accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Anthony Prousi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anthony Prousi was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.