Nagi J Bustros, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

122979 Issued in NY

Practice address

6740 4TH Ave FL 2
Brooklyn, NY 11220-5350

Phone

(929) 455-2740

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

No

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.

• NYU Langone Hospitals

  • Internal Medicine Physician
  • New York, NY
  • NPI 1790975944

  NY

  Medicare reassignment NPD
• New York University

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  Cardiovascular Disease, NY

  Medicare reassignment NPD
• NYU Langone Hospitals

  • Psychiatric Hospital Unit
  • Patchogue, NY
  • NPI 1508687021
  NPD
• NYU Langone Hospitals

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1831549559
  NPD
• New York University

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613

  Cardiovascular Disease

  NPD
• Shore Road Cardiology Associates, PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1790791457

  Cardiovascular Disease

  NPD (past)

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 29, 2021.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1316948680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 OVINGTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091204",
            "telephone_number": "718-238-0098",
            "fax_number": "718-836-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 4TH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205350",
            "telephone_number": "929-455-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTROS",
        "first_name": "NAGI",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "122979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00231012",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saxony Marie Busta, DO
• John E Bustamante
• Alicia May Bustamente
• Salah Bustami
• Timothy James Bustle
• Thomas Bustros, M.D.
• Ashvin Butala, MD
• Darshani Ashvin Butala, MD
• Sharon Butcher
• Alyson Leigh Bute, LMSW

• All providers in Brooklyn, NY
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.