Emmanuel Bustos DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N006572 Issued in NY

Legal business name

EMMANUEL BUSTOS DPM PC

Practice address

4045 Elbertson St
Elmhurst, NY 11373-2154

Phone

(718) 916-0043

NPI assigned

May 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuel Bustos, DPMNPI 1396185575

Title

President

Phone

(718) 916-0043

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emmanuel Bustos, D.P.M.

  • Podiatrist
  • New York, NY
  • NPI 1396185575
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1447637830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2599 BROADWAY STE A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255686",
            "telephone_number": "718-916-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 ELBERTSON ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732154",
            "telephone_number": "718-916-0043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2599 Broadway Ste A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100255686",
            "country_code": "US",
            "telephone_number": "212-663-3668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMMANUEL BUSTOS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "BUSTOS",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-916-0043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmoud Elsayed Elsanaa, PHYSICAL THERAPY
• Mai Elsharawy
• Embrace Pharmacy Inc.
• Veronica Blair Emerson, LMHC
• Emilia'S Kids
• Nkemdirim Emmanuel
• Empire Vision Center, Inc.
• Vanessa Encarnacion-King, LMSW
• Ma Carmina Santos Encarnado, OTR/L
• Energize Physical Therapy PLLC

• Podiatrist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.