Deogracias Viray Bustos, Jr, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA027191 Issued in NJ

Practice address

33 Aristotle Way
East Windsor, NJ 08512-2551

Phone

(609) 448-4483

NPI assigned

Dec 19, 2008

Last updated

Dec 19, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1497991574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ARISTOTLE WAY",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085122551",
            "telephone_number": "609-448-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ARISTOTLE WAY",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085122551",
            "telephone_number": "609-448-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTOS, JR",
        "first_name": "DEOGRACIAS",
        "middle_name": "VIRAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-19",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA027191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle A Botti
• Gabriela Bowers, M.D.
• Jane C Brady, AU.D.
• Valerie Antoinette Brooks, PHARMD
• Gretchen Lenelle Bryant, SLP
• G Sandra Byer-Lubin, MS, RD, CDE
• Lisa M. Cairo, PHARMD
• Maritoni Jesusa Calon, M.D.
• Kathleen Cano
• Melissa Carduner

• Internal Medicine Physician in East Windsor, NJ
• Providers in East Windsor, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.