Organization Active NPI

Manuel C Bulauitan MDPC

  • Legal Medicine
  • Jamaica Estates, NY
National Provider Identifier
1548237407
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
121369 Issued in NY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.