Active NPI
Michael N. Bush, MD PC
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1255459467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 139099
- Legal business name
- MICHAEL N. BUSH, MD PC
- Practice address
- 115 E 57TH St
Suite 630
New York, NY 10022-2049 - Phone
- (212) 583-2884
- Fax
- (212) 644-2522
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Neal Bush, M.D.
- Title
- President
- Phone
- (212) 583-2884
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 139099 | NY | Primary |
Addresses
Primary practice location
115 E 57TH St
Suite 630
New York, NY 10022-2049
Mailing address
115 E 57TH St
Suite 630
New York, NY 10022-2049
Phone (212) 583-2884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1031707 | Michael N Bush MD PC | Certificate of waiver | Oct 6, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- New York, NY
- NPI 1417010638
-
- Internal Medicine Physician
- New York, NY
- NPI 1467516245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255459467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E 57TH ST",
"address_2": "SUITE 630",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222049",
"telephone_number": "212-583-2884",
"fax_number": "212-644-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E 57TH ST",
"address_2": "SUITE 630",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222049",
"telephone_number": "212-583-2884",
"fax_number": "212-644-2522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL N. BUSH, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BUSH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "NEAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-583-2884",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "139099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.