NPIMap

Individual provider Active NPI

Constantine Spyridakis Bulauitan, MD

  • Surgery Physician
  • Neptune, NJ
National Provider Identifier
1477899359
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA09490400 Issued in NJ
Practice address
1945 Route 33
Akerman BLD 4 Trauma Department
Neptune, NJ 07753-4859
Phone
(732) 776-4949
NPI assigned
Dec 20, 2012
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA09490400 NJ Primary

Addresses

Primary practice location

1945 Route 33
Akerman BLD 4 Trauma Department
Neptune, NJ 07753-4859

Mailing address

1945 Route 33
Akerman BLD 4 Trauma Department
Neptune, NJ 07753-4859
Phone (732) 776-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150106002300 NJ Practitioner - General Surgery 7618109661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09490400NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2021 Accepting new patients
Intensivists at Highland PA CurrentSince Mar 1, 2020 Accepting new patients
Riverfront Intensivists CurrentSince Mar 1, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Surgery Past Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Oct 23, 2022 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 State Route 33
Fl 4
Neptune City, NJ 07753
Phone (732) 776-4949

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

Interoperability endpoints

  • Direct secure messaging: constantine.bulauitan@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1477899359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 ROUTE 33",
            "address_2": "AKERMAN BLD 4 TRAUMA DEPARTMENT",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534859",
            "telephone_number": "732-776-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 ROUTE 33",
            "address_2": "AKERMAN BLD 4 TRAUMA DEPARTMENT",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534859",
            "telephone_number": "732-776-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULAUITAN",
        "first_name": "CONSTANTINE",
        "middle_name": "SPYRIDAKIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-20",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA09490400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.