Active NPI
Manuel C Bulauitan MD PC
- Specialist
- Jamaica Estates, NY
National Provider Identifier
1407010200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 121369
- Legal business name
- MANUEL C BULAUITAN MD PC
- Practice address
- 177 06 Wexford Terrace
Jamaica Estates, NY 11432 - Phone
- (718) 291-9384
- NPI assigned
- Jul 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manuel C Bulauitan
- Title
- Sole Proprieter
- Phone
- (718) 291-9384
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 121369 | NY | Primary |
Addresses
Primary practice location
177 06 Wexford Terrace
Jamaica Estates, NY 11432
Mailing address
177 06 Wexford Terrace
Jamaica Estates, NY 11432
Phone (718) 291-9384
National Provider Directory
National Provider Directory- Tax ID family
- Manuel Bulauitan
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Jamaica, NY
- NPI 1710915418
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Jamaica Estates, NY
- NPI 1861553935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215734400000",
"number": "1407010200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 06 WEXFORD TERRACE",
"city": "JAMAICA ESTATES",
"state": "NY",
"postal_code": "11432",
"telephone_number": "718-291-9384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 06 WEXFORD TERRACE",
"city": "JAMAICA ESTATES",
"state": "NY",
"postal_code": "11432",
"telephone_number": "718-291-9384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANUEL C BULAUITAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-11",
"last_updated": "2008-07-11",
"status": "A",
"authorized_official_last_name": "BULAUITAN",
"authorized_official_first_name": "MANUEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "SOLE PROPRIETER",
"authorized_official_telephone_number": "718-291-9384"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "121369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica Estates, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.