Active NPI
Michael William Bunce, RN
- Registered Nurse
- Ridge, NY
National Provider Identifier
1982912598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 468164-1
- Practice address
- 14 Cheemaun TRL
Ridge, NY 11961-1802 - Phone
- (631) 886-1346
- NPI assigned
- Sep 16, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 468164-1 | NY | MD | Registered Nurse |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 468164-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
14 Cheemaun TRL
Ridge, NY 11961-1802
Mailing address
14 Cheemaun TRL
Ridge, NY 11961-1802
Phone (631) 886-1346
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 468164-1 | Medicaid | NY |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 16, 2010.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284595200000",
"number": "1982912598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 CHEEMAUN TRL",
"city": "RIDGE",
"state": "NY",
"postal_code": "119611802",
"telephone_number": "631-886-1346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 CHEEMAUN TRL",
"city": "RIDGE",
"state": "NY",
"postal_code": "119611802",
"telephone_number": "631-886-1346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCE",
"first_name": "MICHAEL",
"middle_name": "WILLIAM",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-16",
"last_updated": "2010-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "468164-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "468164-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.