Individual provider Active NPI

Sandra Bulos, M.D.

  • Internal Medicine Physician
  • New Brunswick, NJ
National Provider Identifier
1356712657
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA10967100 Issued in NJ
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

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171005002533 NY Practitioner - Internal Medicine 2860767563 Reassigns benefits to 2 organizations
I20250516002672 NJ Practitioner - Internal Medicine 2860767563 Reassigns benefits to 1 organization

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
Saint Peters University HospitalGroup PAC ID 9931012382, 158 clinicians

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 Hospital, New Brunswick, NJ, CCN 310070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10967100NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter'S University Hospital Multi-Specialty CurrentSince Jun 2, 2025 Accepting new patients
Crystal Run Healthcare Physicians LLP CurrentSince Nov 1, 2021 Accepting new patients
City Medical Healthcare Associates PLLC Multi-Specialty CurrentSince Nov 1, 2019 Accepting new patients
Saint Peter'S University Hospital CurrentSince Jun 2, 2025 Accepting new patients
Crystal Run Healthcare Physicians LLP Multi-Specialty CurrentSince Nov 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Shirish Patel Medical P.C. Multi-Specialty PastSince Dec 2, 2010 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

  • Direct secure messaging: sandra.bulos.1@8568.direct.athenahealth.com
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.