MS. AMY M BUSTIN PA-C NPI 1982643920

NPI Information

NPI: 1982643920
Provider Name: MS. AMY M BUSTIN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1015 CHESTNUT ST
SUITE 821
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 922-1801
Get Directions

MS. Amy M Bustin, PA-C is a medical physician assistant in Philadelphia, PA with 23 years of experience. MS. Amy M Bustin, PA-C NPI is 1982643920. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1015 CHESTNUT ST
SUITE 821
PHILADELPHIA, PA
ZIP 19107-316
Phone: (215) 922-1801
Fax: (215) 922-1806

The NPI 1982643920 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 2/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	MA051630	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	079080D6Q	MEDICARE ID-TYPE UNSPECIFIED
2	Q16689	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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