Active NPI
Sandra Bulos, M.D.
- Internal Medicine Physician
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA10967100
- Practice address
- 254 Easton Ave
New Brunswick, NJ 08901-1766 - Phone
- (732) 745-6643
- Fax
- (844) 285-4112
- NPI assigned
- Oct 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA10967100 | NJ | Primary |
Addresses
Primary practice location
254 Easton Ave
New Brunswick, NJ 08901-1766
Mailing address
254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 745-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
123 How LN
New Brunswick, NJ 08901-3653
Phone (732) 745-8600
254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 745-8600
Hospital & facility affiliations
- Saint Peter'S University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10967100 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Peter'S University Hospital | Multi-Specialty | Current | Accepting new patients |
| Crystal Run Healthcare Physicians LLP | Current | Accepting new patients | |
| City Medical Healthcare Associates PLLC | Multi-Specialty | Current | Accepting new patients |
| Saint Peter'S University Hospital | Current | Accepting new patients | |
| Crystal Run Healthcare Physicians LLP | Multi-Specialty | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Shirish Patel Medical P.C. | Multi-Specialty | Past | Accepting new patients |
| Saint Peter'S Healthcare System Physician Associates | Multi-Specialty | Past | Accepting new patients |
Locations
254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453
254 Easton Ave
Bldg 4TH
New Brunswick, NJ 08901
Phone (732) 745-6667
254 Easton Ave
Fl 4
New Brunswick, NJ 08901
Phone (973) 993-7100
123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000
254 Easton Ave
#4
New Brunswick, NJ 08901
2742 3rd Ave
Bronx, NY 10455
Phone (718) 576-5049
2802 Crescent St
Long Island City, NY 11102
Phone (718) 278-6666
300 Crystal Run Rd
Middletown, NY 10941
Phone (845) 692-6999
155 Crystal Run Rd
Middletown, NY 10941
565 W 125th St
New York, NY 10027
Phone (212) 470-1000
3418 Broadway
Ofc 2
New York, NY 10031
Phone (212) 927-0013
2 Centerock Rd
West Nyack, NY 10994
Phone (844) 592-7009
Interoperability endpoints
- sandra.bulos.1@8568.direct.athenahealth.com
- https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
Multi-Specialty
-
- Internal Medicine Physician
- New York, NY
- NPI 1093357568
Multi-Specialty
-
- General Practice Physician
- Middletown, NY
- NPI 1952376410
Multi-Specialty
-
- Clinical Psychologist
- New Brunswick, NJ
- NPI 1376079590
-
- Durable Medical Equipment & Medical Supplies
- Monroe, NY
- NPI 1558857425
-
- General Practice Physician
- New Brunswick, NJ
- NPI 1548569361
Multi-Specialty
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1356712657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 EASTON AVE",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011766",
"telephone_number": "732-745-8600",
"fax_number": "844-285-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 EASTON AVE",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011766",
"telephone_number": "732-745-6643",
"fax_number": "844-285-4112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULOS",
"first_name": "SANDRA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-13",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA10967100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.
- 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.