Maria L Bunag Medical P C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

168161 Issued in NY

Legal business name

MARIA L BUNAG MEDICAL P C

Practice address

1111 Targee St
Staten Island, NY 10304-4323

Phone

(718) 702-2507

Fax

(718) 447-6654

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

Maria Lourdes Bunag, MDNPI 1144287533

Title

MD

Phone

(718) 702-2507

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Lourdes Bunag, MD

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1144287533
  Medicare reassignment Authorized official
• Sandra Joy Tecson Nevarez, NP

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1801268248
  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1730379488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 TARGEE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044323",
            "telephone_number": "718-702-2507",
            "fax_number": "718-447-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 TARGEE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044323",
            "telephone_number": "718-702-2507",
            "fax_number": "718-447-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA L BUNAG MEDICAL P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "BUNAG",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LOURDES",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-702-2507",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "168161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margret Ultra Home Care
• Margret Ultra Home Care Inc
• Margret Ultra Home Care Inc
• Boriana Marguenski, MS, CF-SLP, TSSLD
• Renee Wendy Marhong, R.N.
• Maria Lucy Duff DDS, P.C.
• Stephanie Mariak
• Jonathan Mariani
• Marianne Lants DPM, P.C.
• Alejandro T Mariano, PT

• Internal Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.