Active NPI
Musulu Jean-Barth Mbayanga, M.D.
- Family Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 273337
- Practice address
- 1276 Fulton Ave
Bronx, NY 10456-3402 - Phone
- (718) 466-3255
- NPI assigned
- Jul 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 273337 | NY | Primary |
| Family Medicine Physician | 207Q00000X | MD451119 | PA |
Addresses
Primary practice location
1276 Fulton Ave
Bronx, NY 10456-3402
Mailing address
708 4TH Ave Apt 3
Brooklyn, NY 11232-1205
Phone (718) 832-9801
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140724001991 | NY | Practitioner - Family Practice | 2961628102 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bronxcare Health System
Practice addresses (Care Compare)
1276 Fulton Ave
Bronx, NY 10456-3402
1650 Grand Concourse
Bronx, NY 10457-7606
Hospital & facility affiliations
- Bronxcare Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD451119 | PA | MD | Family Medicine Physician |
Practice roles (7 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Family Medicine | Current | Accepting new patients |
| Bronxcare Health System | Current | Accepting new patients | |
| Bronxcare Health System | Family Medicine | Current | Accepting new patients |
| Cogent Medical Care PC | Family Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of New York, PLLC | Current | Accepting new patients | |
| Bronxcare Health System | Past | Accepting new patients |
Locations
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000
1276 Fulton Ave
Rm 208
Bronx, NY 10456
Phone (718) 901-8918
565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
300 Community Dr
Plandome, NY 11030
160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000
701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- East Patchogue, NY
- NPI 1912941238
Family Medicine, NY
-
- Emergency Medicine Physician
- Bronx, NY
- NPI 1205944329
NY
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1417027558
-
- Psychiatric Hospital Unit
- Bronx, NY
- NPI 1083796213
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1306190558
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1831515154
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1124283569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 4TH AVE APT 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112321205",
"telephone_number": "718-832-9801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 FULTON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104563402",
"telephone_number": "718-466-3255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBAYANGA",
"first_name": "MUSULU",
"middle_name": "JEAN-BARTH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-24",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "273337",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD451119",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 1, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.