Victor Manuel Bulnes, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

006430 Issued in NY

Practice address

571 Academy St
Gle
New York, NY 10034-5104

Phone

(212) 567-0550

Fax

(212) 567-6574

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Academy Medical Care PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1790809184
  Medicare reassignment
• Physicians of the Future Medgroup PLLC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1437575966
  Medicare reassignment
• City Heart Vascular PLLC

  • Cardiovascular Disease Physician
  • South Richmond Hill, NY
  • NPI 1851042568
  NPD (past)
• Women's Health Practice LLC

  • Preferred Provider Organization
  • New York, NY
  • NPI 1093137481
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1356449011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 ACADEMY ST",
            "address_2": "GLE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100345104",
            "telephone_number": "212-567-0550",
            "fax_number": "212-567-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 ACADEMY ST",
            "address_2": "GLE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100345104",
            "telephone_number": "212-567-0550",
            "fax_number": "212-567-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULNES",
        "first_name": "VICTOR",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00246075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Bulman, LMSW
• Jessica Bulman, MA, CASAC-T
• Margaret Anne Bulman, PT, DPT
• William Aloysius Bulman, M.D.
• Benjamin Bulmash
• Barbara J Buloff, MSW, LCSW
• Peter Michael Bulow, M.D.
• Frances Marina Bultron
• Magnolia Buluran
• Robert Leon Buly, MD

• Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.