Individual provider Active NPI

John R Bullinga, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Philadelphia, PA
National Provider Identifier
1699706994
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD430155 Issued in PA
Practice address
51 N 39TH Street
4 Phi
Philadelphia, PA 19104-2640
Phone
(215) 910-9044
Fax
(215) 243-3264
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD430155 PA
Clinical Cardiac Electrophysiology Physician 207RC0001X MD430155 PA Primary

Addresses

Primary practice location

51 N 39TH Street
4 Phi
Philadelphia, PA 19104-2640

Mailing address

51 N 39TH Street
4 Phi
Philadelphia, PA 19104-2640
Phone (215) 910-9044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070810000164 NJ Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 4880624931 Reassigns benefits to 1 organization
I20071005000621 PA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 4880624931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Iowa, RJ & L Carver College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, shared by 7 NPIs, 793 clinicians

Practice addresses (Care Compare)

1 E New York Ave Mob 2ND FL
Penn Cardiology Somers Point
Somers Point, NJ 08244-2340
Phone (609) 365-3100

1865 Route 70 E 260
Penn Cardiology Cherry Hill
Cherry Hill, NJ 08003-2013
Phone (856) 216-0300

211 S Main St
Suite 205
Cape May Court House, NJ 08210-2264
Phone (609) 463-0800

410 W Linfield Trappe Rd
Suite 100B
Royersford, PA 19468-4295
Phone (610) 569-4345

51 N 39TH St 4 HVP
Penn Cardiology Penn Presbyterian 4TH Floor
Philadelphia, PA 19104-2640
Phone (215) 662-9189

605 W State St
Penn Cardiology Media
Media, PA 19063-2620
Phone (610) 566-8688

7133 Roosevelt Blvd
Philadelphia, PA 19149-1431
Phone (215) 333-5604

Hospital & facility affiliations

  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair50

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jul 1, 2007 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jul 1, 2007 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients
Clinical Health Care Associates of New Jersey PC Cardiovascular Disease CurrentSince Jul 1, 2007 Accepting new patients

Locations

211 S Main St
Ste 205
Cape May Court House, NJ 08210
Phone (609) 463-0800

1865 Route 70 E
Ste 260
Cherry Hill, NJ 08003
Phone (215) 662-9595

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

401 Young Ave
Ste 275A
Moorestown, NJ 08057
Phone (856) 206-4786

2051 Briggs Rd
Mount Laurel, NJ 08054
Phone (856) 234-3332

5000 Dearborn Cir
Ste 100A
Mount Laurel, NJ 08054
Phone (609) 871-7070

155 Medical Center Way
#2
Somers Point, NJ 08244
Phone (609) 365-3100

200 Campbell Dr
Ste 107
Willingboro, NJ 08046
Phone (609) 614-3997

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

1338 Bristol Pike
Ste 100
Bensalem, PA 19020
Phone (215) 447-1430

605 W State St
Media, PA 19063
Phone (610) 565-8600

33 E Chestnut Hill Ave
Lowr
Philadelphia, PA 19118
Phone (215) 248-1350

51 N 39th St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-9189

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

410 W Linfield Trappe Rd
Ste 100B
Royersford, PA 19468
Phone (610) 569-4345

Organizations & group practices 4

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

Hospital & facility affiliations 5

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1699706994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N 39TH STREET",
            "address_2": "4 PHI",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042640",
            "telephone_number": "215-910-9044",
            "fax_number": "215-243-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N 39TH STREET",
            "address_2": "4 PHI",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042640",
            "telephone_number": "215-910-9044",
            "fax_number": "215-243-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLINGA",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD430155",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "MD430155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.