Organization Active NPI

Joseph T. Bumatay, M.D., P.C.

  • Otolaryngology Physician
  • Flushing, NY
National Provider Identifier
1053650572
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
132920 Issued in NY
Legal business name
JOSEPH T. BUMATAY, M.D., P.C.
Practice address
16918 Union Tpke
Flushing, NY 11366-1314
Phone
(718) 380-4700
Fax
(718) 380-4834
NPI assigned
Feb 4, 2013
Last updated
Feb 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Joseph Tagupa Bumatay, M.D.NPI 1881774537
Title
Owner
Phone
(718) 380-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 132920 NY Primary

Addresses

Primary practice location

16918 Union Tpke
Flushing, NY 11366-1314

Mailing address

16918 Union Tpke
Flushing, NY 11366-1314
Phone (718) 380-4700

Other identifiers 1

IdentifierTypeStateIssuer
00603443MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1053650572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16918 UNION TPKE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113661314",
            "telephone_number": "718-380-4700",
            "fax_number": "718-380-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16918 UNION TPKE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113661314",
            "telephone_number": "718-380-4700",
            "fax_number": "718-380-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH T. BUMATAY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "BUMATAY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "TAGUPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-380-4700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "132920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00603443",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.