Active NPI
Paula Bu, M.D.
- Psychiatry Physician
- Philadelphia, PA
National Provider Identifier
1366973125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD473745
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11156500 | NJ | MD | Psychiatry Physician |
| 295874 | NY | MD | Psychiatry 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": []
}
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- Alyssa Louise Bubel
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.