1427223270 NPI number — DR. ADRIANA BUGA MD

Table of content: DR. ADRIANA BUGA MD (NPI 1427223270)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427223270 NPI number — DR. ADRIANA BUGA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUGA
Provider First Name:
ADRIANA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427223270
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/12/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3600 ROUTE 66
Provider Second Line Business Mailing Address:
FL 3
Provider Business Mailing Address City Name:
NEPTUNE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07753-2645
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-807-0800
Provider Business Mailing Address Fax Number:
201-751-1680

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
343 GOLD ST
Provider Second Line Business Practice Location Address:
APT 3010
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11201-3055
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-552-3162
Provider Business Practice Location Address Fax Number:
718-552-3162
Provider Enumeration Date:
04/23/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  25MA11029100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2084P0800X , with the licence number: 254598 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: NJDCATEMP-029885 . This is a "NEW JERSEY EMERGENCY LICENSE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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