Individual provider Active NPI

Judy Huang-Bulger, M.D.

  • Pediatrics Physician
  • Vernon, CT
National Provider Identifier
1356318893
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
043344 Issued in CT
Practice address
357 Hartford Tpke
Vernon, CT 06066-4838
Phone
(860) 871-2102
Fax
(860) 870-0890
NPI assigned
Mar 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 043344 CT Primary

Addresses

Primary practice location

357 Hartford Tpke
Vernon, CT 06066-4838

Mailing address

PO Box 3249
Vernon, CT 06066-2149
Phone (860) 872-2289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20120206000742 CT Practitioner - Pediatric Medicine 4486811247 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043344CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians PLLC CurrentSince Aug 1, 2018 Accepting new patients
Starling Physicians, PLLC CurrentSince Aug 1, 2018 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

2110 Silas Deane Hwy
Rocky Hill, CT 06067

357 Hartford Tpke
Vernon Rockvl, CT 06066
Phone (860) 871-2102

Interoperability endpoints

  • Direct secure messaging: judy.huang-bulger@xdr.hhchealthdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356318893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3249",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060662149",
            "telephone_number": "860-872-2289",
            "fax_number": "860-896-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664838",
            "telephone_number": "860-871-2102",
            "fax_number": "860-870-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG-BULGER",
        "first_name": "JUDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "043344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.