Michael Anthony Bulanowski, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

152718 Issued in NY

Practice address

240B W Montauk Hwy
Hampton Bays, NY 11946-3510

Phone

(631) 728-7400

Fax

(631) 728-7878

NPI assigned

Jun 30, 2005

Last updated

Dec 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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

• Prem C Chatpar MD LLC

  • Rheumatology Physician
  • Plainview, NY
  • NPI 1407902505
  NPD (past)
• Stony Brook Orthopaedic Associates, University Faculty Practice Corpor

  • Orthopaedic Surgery Physician
  • Stony Brook, NY
  • NPI 1154377638
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1841297249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240B W MONTAUK HWY",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463510",
            "telephone_number": "631-728-7400",
            "fax_number": "631-728-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240B W MONTAUK HWY",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463510",
            "telephone_number": "631-728-7400",
            "fax_number": "631-728-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULANOWSKI",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "152718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Ellen Brenner, RN
• August Marie Brown, RN
• John Bruno
• Maria Bruno, MA
• Bernadette Buckley
• Melissa Beth Caggiano
• Janet Cassidy
• Catholic Charities of the Diocese of Rockville Centre
• Catholic Guardian Society & Home Bureau
• Deborah Cavaliere, LCSW

• Specialist in Hampton Bays, NY
• Providers in Hampton Bays, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.