Individual provider Active NPI

Paula Bu, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1366973125
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD473745 Issued in PA
Practice address
1528 Walnut St Ste 1414
Philadelphia, PA 19102-3610
Phone
(267) 845-4076
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 295874 NY
Psychiatry Physician 2084P0800X 25MA11156500 NJ
Psychiatry Physician 2084P0800X MD473745 PA Primary

Addresses

Primary practice location

1528 Walnut St Ste 1414
Philadelphia, PA 19102-3610

Mailing address

1528 Walnut St Ste 1414
Philadelphia, PA 19102-3610

Other practice location 1

301 Grant St Ste 270
Pittsburgh, PA 15219-1408
Phone (878) 999-8390

Other practice location 2

5 Penn Plz Fl 23
New York, NY 10001-1810
Phone (332) 219-7898

Other practice location 3

915 Haddon Ave Ste 1
Collingswood, NJ 08108-1900
Phone (609) 573-3314

Other practice location 4

3477 Corporate Pkwy Ste 100
Center Valley, PA 18034-8237
Phone (484) 763-4025

Other practice location 5

30 S Valley Rd Ste 101
Paoli, PA 19301-1469
Phone (267) 358-6099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11156500NJMDPsychiatry Physician
295874NYMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1366973125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 WALNUT ST STE 1414",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 WALNUT ST STE 1414",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023610",
            "telephone_number": "267-845-4076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Grant St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152191408",
            "country_code": "US",
            "telephone_number": "878-999-8390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Penn Plz Fl 23",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100011810",
            "country_code": "US",
            "telephone_number": "332-219-7898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Haddon Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Collingswood",
            "state": "NJ",
            "postal_code": "081081900",
            "country_code": "US",
            "telephone_number": "609-573-3314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3477 Corporate Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Center Valley",
            "state": "PA",
            "postal_code": "180348237",
            "country_code": "US",
            "telephone_number": "484-763-4025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 S Valley Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011469",
            "country_code": "US",
            "telephone_number": "267-358-6099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BU",
        "first_name": "PAULA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "295874",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA11156500",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD473745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.