Individual provider Active NPI

Hannah Dawn Bugayong Tacastacas

  • Specialist
  • Bronx, NY
National Provider Identifier
1053150003
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1611119221 Issued in NY
Practice address
1405 Rowland St Apt 34
Bronx, NY 10461-3530
Phone
(845) 553-0390
NPI assigned
May 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1611119221 NY Primary

Addresses

Primary practice location

1405 Rowland St Apt 34
Bronx, NY 10461-3530

Mailing address

1405 Rowland St Apt 34
Bronx, NY 10461-3530
Phone (845) 553-0390

Other names 1

  • Hannah Dawn Ozoa Bugayong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1611119221NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1053150003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 ROWLAND ST APT 34",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613530",
            "telephone_number": "845-553-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 ROWLAND ST APT 34",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613530",
            "telephone_number": "845-553-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACASTACAS",
        "first_name": "HANNAH DAWN",
        "middle_name": "BUGAYONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1611119221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH DAWN",
            "last_name": "BUGAYONG",
            "middle_name": "OZOA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.