Active NPI
Manuel C Bulauitan MDPC
- Legal Medicine
- Jamaica Estates, NY
National Provider Identifier
1548237407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 121369
- Legal business name
- MANUEL C BULAUITAN MDPC
- Practice address
- 177-06 Wexford Terrace
Jamaica Estates, NY 11432-2927 - Phone
- (718) 291-9384
- NPI assigned
- Feb 28, 2006
- Last updated
- Aug 8, 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, MD
- Title
- Owner
- Phone
- (718) 291-9384
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 121369 | NY | Primary |
Addresses
Primary practice location
177-06 Wexford Terrace
Jamaica Estates, NY 11432-2927
Mailing address
177-06 Wexford Terrace
Jamaica Estates, NY 11432-2927
Phone (718) 291-9384
National Provider Directory
National Provider DirectoryLocations
17706 Wexford Ter
Jamaica, NY 11432
Phone (718) 262-9456
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Williston Park, NY
- NPI 1548365612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218153600000",
"number": "1548237407",
"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": "114322927",
"telephone_number": "718-291-9384",
"fax_number": "718-558-9020"
},
{
"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": "114322927",
"telephone_number": "718-291-9384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANUEL C BULAUITAN MDPC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-28",
"last_updated": "2008-08-08",
"status": "A",
"authorized_official_last_name": "BULAUITAN",
"authorized_official_first_name": "MANUEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-291-9384",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"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 Aug 8, 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.