Isabel Marie Bustamante

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F347778 Issued in NY

Practice address

110 E 60TH St FL 5
New York, NY 10022-1694

Phone

(646) 502-5450

NPI assigned

Oct 26, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles (3 of 7)

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: ibustamante219094@northwell.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New York Fertility Medical Practice, PLLC

  • Reproductive Endocrinology Physician
  • New York, NY
  • NPI 1023675220
  NPD (past)
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  NPD (past)
• Westchester Reproductive Medicine

  • Reproductive Endocrinology Physician
  • Mount Kisco, NY
  • NPI 1376016287
  NPD (past)

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1093479982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221694",
            "telephone_number": "646-502-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "ISABEL",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Bussmann, CNM
• Angela Bussolini, OTR/L
• Agustin Busta, MD
• Richard James Bustamante-Quon, L.M.H.C.
• Chris Bustamante, NP-C
• Jean Gabriel Bustamante, M.D.
• Maria J Bustamante, OD
• Patrick Joseph Bustamante, PT
• Reinaldo Eduardo Bustamante, RDH
• Janan Bustami

• All providers in New York, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.