Matthew Butawan

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

444 W 52ND St Apt 2W
New York, NY 10019-6371

Phone

(901) 438-7250

NPI assigned

Jul 3, 2022

Last updated

Jul 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656806400000",
    "number": "1023741519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W 52ND ST APT 2W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W 52ND ST APT 2W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196371",
            "telephone_number": "901-438-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTAWAN",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-03",
        "last_updated": "2022-07-03",
        "certification_date": "2022-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Bustos, D.P.M.
• Ines Bustos, RN
• Jackee Elizabeth Bustos, MD
• Kathleen Busuttil
• But First, Help Me.
• Liam Butchart, MD
• Amber Rose Butcher
• Lynette Butcher, CASAC-T
• Sylvia Bute-Parker, NP
• Catesby Elizabeth Buteau, LMSW

• Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.