Hazel Rumbaua Buenavista, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

258693 Issued in NY

Practice address

3636 33Rd St Ste 306
Long Island City, NY 11106-2329

Phone

(844) 403-4325

Fax

(424) 625-0010

NPI assigned

Sep 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Hazel Buenavista Aquino Other name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1053629378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 45TH RD",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014707",
            "telephone_number": "718-392-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 33RD ST STE 306",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111062329",
            "telephone_number": "844-403-4325",
            "fax_number": "424-625-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2146 45th Rd",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111014707",
            "country_code": "US",
            "telephone_number": "718-392-4135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUENAVISTA",
        "first_name": "HAZEL",
        "middle_name": "RUMBAUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "258693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAZEL",
            "last_name": "AQUINO",
            "middle_name": "BUENAVISTA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rena' Brown
• Sheba Brown, PA-C
• Ciera K Brunson, RN
• Nicole Josephine Bruzzese, RPA-C
• Maura Buckley
• Haley Buggy, PA-C
• Milagros Bulatao
• Sirah Bulkan, M.D.
• Concepcion Alejandra Bulo, MS, RD, CDN, CLC
• Adetoun Olusola Burgos

• Internal Medicine Physician in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.