Emmanuel Bautista Munoz

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

537012-1 Issued in NY

Practice address

106 Locust Ave
Dumont, NJ 07628-3517

Phone

(201) 384-3418

NPI assigned

Oct 7, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1801267505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LOCUST AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283517",
            "telephone_number": "201-384-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LOCUST AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283517",
            "telephone_number": "201-384-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "EMMANUEL",
        "middle_name": "BAUTISTA",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "537012-1",
            "primary": true
        },
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "NY",
            "license": "537012-1",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "NY",
            "license": "537012-1",
            "primary": false
        },
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "NY",
            "license": "537012-1",
            "primary": false
        },
        {
            "code": "163WU0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Urology",
            "state": "NY",
            "license": "537012-1",
            "primary": false
        },
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "NY",
            "license": "537012-1",
            "primary": false
        },
        {
            "code": "163WX1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ophthalmic",
            "state": "NY",
            "license": "537012-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Montesclaros, APRN, FNP-C
• Virginia Montoya
• Jennell Morin, PHARMD
• Jan G Mrani, M.D.
• Reginald Muhammad
• Mejrem Murtis, LAC
• John M Nagatsuka, DPT
• Amanda Paige Nevis, DPT
• New Jersey CVS Pharmacy LLC (CVS Pharmacy 00814)
• New Lanark Healthcare Inc

• Registered Nurse in Dumont, NJ
• Providers in Dumont, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.