Individual provider Active NPI

Peter Bulik, D.O.

  • Cardiovascular Disease Physician
  • Cherry Hill, NJ
National Provider Identifier
1184987604
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MB09639200 Issued in NJ
Practice address
1 Brace Rd Ste C1
Cherry Hill, NJ 08034-2600
Phone
(856) 428-4100
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MB09639200 NJ Primary

Addresses

Primary practice location

1 Brace Rd Ste C1
Cherry Hill, NJ 08034-2600

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pbulik78095@directvirtua.org
Direct Messaging Address pbulik78095@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20180516002244 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4981968179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1 Brace Rd
Cherry Hill, NJ 08034-2600

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

128 Route 70
Medford, NJ 08055-2371

1600 Haddon Ave
Camden, NJ 08103-3101

175 Madison Ave
Mount Holly, NJ 08060-2038

2 Sindoni LN
Hammonton, NJ 08037-1884

218 Sunset Rd
FL 5
Willingboro, NJ 08046-1110
Phone (609) 444-0359

2309 E Evesham Rd
Voorhees, NJ 08043-1559

3242 Route 206
Bordentown, NJ 08505-4517

42 E Laurel Rd
Stratford, NJ 08084-1354

539 Egg Harbor Rd
Sewell, NJ 08080-2371
Phone (856) 589-0300

730 N Broad St
Suite 200a
Woodbury, NJ 08096-1796
Phone (856) 251-2340

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Mar 1, 2020 Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 1, 2020 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

63 Kresson Rd
Ste 101
Cherry Hill, NJ 08034
Phone (856) 428-4100

1 Brace Rd
Ste C
Cherry Hill, NJ 08034
Phone (856) 428-4100

1 Brace Rd
Ste C1
Cherry Hill, NJ 08034
Phone (856) 428-4100

303 Lippincott Dr
Marlton, NJ 08053

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

42 E Laurel Rd
Ste 3100
Stratford, NJ 08084
Phone (856) 566-2753

42 E Laurel Rd
Ste 3100F
Stratford, NJ 08084
Phone (856) 566-6292

730 N Broad St
Ste 200
Woodbury, NJ 08096
Phone (856) 251-2340

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1184987604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRACE RD STE C1",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342600",
            "telephone_number": "856-428-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULIK",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB09639200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbulik78095@directvirtua.org",
            "affiliation": "N",
            "address_1": "1 Brace Rd Ste C1",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080342600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbulik78095@directvirtua.org",
            "affiliation": "N",
            "address_1": "42 E Laurel Rd Ste 3100",
            "city": "Stratford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080841354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.