Susan Bukala

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

778002 Issued in NY

Practice address

5164 72ND PL
Woodside, NY 11377-7638

Phone

(917) 754-2050

NPI assigned

Oct 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1366041535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5164 72ND PL",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113777638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5164 72ND PL",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113777638",
            "telephone_number": "917-754-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKALA",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "778002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Aaron Brown, LMSW
• Wendy Cesarina Brown, LCSW
• Bruce E. Katz, MD, PC
• Charlotte Grafil Brun, DPT
• Robert William Bruno, DDS
• Stefanie Burgio
• Chelsey Marie Burgos
• Whitney A Burke, MSPT
• Joy M Burns, COTA
• Zvi Bushwick

• Registered Nurse in Woodside, NY
• Providers in Woodside, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.