Krisztina Bukur-Doczy, M.D.
Individual provider Active NPI Pediatrics Physician · Bridgewater, MA
NPI 1346247152 · NPPES record last updated Nov 3, 2011
Key facts
- NPI
- 1346247152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 216913 (NY)
- Practice address
- 1440 Pleasant St
Suite D
Bridgewater, MA 02324-1061 - Phone
- (508) 697-8116
- Fax
- (508) 697-8117
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140221000188 | MA | Order and Referring Only - Pediatric Medicine |
4789647561 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216913 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton Pediatrics LLC | Current | Accepting new patients | |
| Newton Wellesley Hospital | Current | Accepting new patients | |
| Newton Pediatrics LLC | Past | Accepting new patients | |
| Mid- Hudson Medical Group P C | Past | Accepting new patients | |
| Good Samaritan Medical Practice Corp | Past | Accepting new patients | |
| Bridgewater Pediatrics LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- bukurdoczy.krisztina.nwh@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 216913 | NY | Yes |
Addresses
Primary practice location
1440 Pleasant St
Suite D
Bridgewater, MA 02324-1061
Mailing address
1440 Pleasant St
Suite D
Bridgewater, MA 02324-1061
Phone (508) 697-8116
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02091156 | Medicaid | NY |
Other providers in Bridgewater, MA
- Barry Brodsky
- Catherine Jean Brown
- Michael Christopher Bruemmel Sr.
- Megan Marie Buchanan
- Building Healthy Pathways LLC
- Michael Burke
- Joshua David Cabral
- Alexandya Cairns
- Cynthia J Calderon
- Shanda Aurora Caniquie
All providers in Bridgewater, MA · Pediatrics Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.