Individual provider Active NPI

Emily Martha Bulanski, MD

  • Family Medicine Physician
National Provider Identifier
1740088137
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
335147 Issued in NY
Practice address
614 Coronation Blvd.
Unit 201
Cambridge, ONTARIO N1R 3E8
CA
Phone
(905) 730-2078
NPI assigned
Mar 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 335147 NY Primary

Addresses

Primary practice location

614 Coronation Blvd.
Unit 201
Cambridge, ONTARIO N1R 3E8
CA

Mailing address

408-555 Park Road North
Brantford, ONTARIO N3R 0B4
CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251104003617 NY Practitioner - Family Practice 1951891423 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

30 Hagen Dr
Suite 300
Rochester, NY 14625-2658
Phone (585) 338-2700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. Family Medicine CurrentSince Aug 11, 2025 Accepting new patients
Rochester General Hospital CurrentSince Dec 30, 2025 Accepting new patients

Locations

30 Hagen Dr
Ste 300
Rochester, NY 14625
Phone (585) 381-1440

30 Hagen Dr
Rochester, NY 14625
Phone (585) 242-9450

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Interoperability endpoints

  • Direct secure messaging: ebulanski432066@direct.rochesterregional.org

Organizations & group practices 3

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 1

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": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1740088137",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "408-555 PARK ROAD NORTH",
            "city": "BRANTFORD",
            "state": "ONTARIO",
            "postal_code": "N3R 0B4"
        },
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "614 CORONATION BLVD.",
            "address_2": "UNIT 201",
            "city": "CAMBRIDGE",
            "state": "ONTARIO",
            "postal_code": "N1R 3E8",
            "telephone_number": "905-730-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULANSKI",
        "first_name": "EMILY",
        "middle_name": "MARTHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "335147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.