MANISHA K. BULSARA (NPI# 1306015714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306015714 |
| Entity Type | Individual |
| Full Name | MANISHA K. BULSARA |
| Credential | PA-C |
| Practice Address |
45 Main St Suite 175 Brooklyn NY 11201-1000 |
| Mailing Address |
4545 E Shea Blvd Suite 175 Phoenix AZ 85028-3074 |
| Practice Telephone | 3473280300 |
| Mailing Telephone | 6023176874 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
011671 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
45 MAIN ST SUITE 175 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699916734 | Triesha S. Gayle | Nurse Practitioner | 45 Main St, Ste. 408, Brooklyn, NY 11201-1000 | 2009-03-19 |
| 1568630788 | Rakhmin Bobby Drits | Physician Assistant | 45 Main St, Suite 408, Brooklyn, NY 11201-1000 | 2008-02-11 |
| 1841326816 | Servicesregional Physician North Carolina, P.c | Internal Medicine | 45 Main St, Suite 408, Brooklyn, NY 11201-1000 | 2007-02-26 |
| 1972675353 | Donald L Ross | Internal Medicine | 45 Main St, Suite 408, Brooklyn, NY 11201-1000 | 2006-11-14 |
| 1679644264 | Ross Friedman | Internal Medicine | 45 Main St, Suite 408, Brooklyn, NY 11201-1000 | 2006-11-13 |
| 1336164235 | Sheryl Ann Pearl | Family Medicine | 45 Main St, Suite 408, Brooklyn, NY 11201-1000 | 2006-07-12 |
| 1205804051 | Mohammed M Khan | Family Medicine | 45 Main St, Suite 408, Brooklyn, NY 11201-1000 | 2006-03-09 |
| 1205827680 | Nerlige Basavaraju | Internal Medicine | 45 Main St, Suite 408, Brooklyn, NY 11201-1000 | 2005-11-03 |
| 1396736864 | Regional Physician Services, Nj, PC | Internal Medicine | 45 Main St, Suite 408, Brooklyn, NY 11201-1000 | 2005-11-02 |
| 1508857343 | Regional Physician Services, PC | Internal Medicine | 45 Main St, Suite 408, Brooklyn, NY 11201-1000 | 2005-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710517305 | Angenis Lin | Physician Assistant | 1526 83rd St, Brooklyn, NY 11228-3130 | 2020-01-22 |
| 1740848985 | Mallory Des Champs | Physician Assistant | 7901 4th Ave Ste A20, Brooklyn, NY 11209-3957 | 2019-06-03 |
| 1588140230 | Sharon Cheptum Griesinger | Physician Assistant | 276 Hawthorne St Apt 1, Brooklyn, NY 11225-5908 | 2018-07-16 |
| 1336651629 | Francine Panely | Physician Assistant | 460 Neptune Ave Apt 18r, Brooklyn, NY 11224-4325 | 2017-10-26 |
| 1265951479 | Leah Mcmullen | Physician Assistant | 803 Nostrand Ave Apt 1l, Brooklyn, NY 11225-1539 | 2017-09-19 |
| 1033655378 | Zacharia El-samin | Physician Assistant | 21 Pine Tree Ter, Brooklyn, CT 06234-3324 | 2017-01-10 |
| 1982156816 | Chad Smartt | Physician Assistant | 988 E 39th St, Brooklyn, NY 11210-3508 | 2016-10-26 |
| 1154870913 | Christina Masaitis | Physician Assistant | 2171 E 18th St, Apt 1c, Brooklyn, NY 11229-4468 | 2016-09-22 |
| 1447615737 | Eliezer Gurkov | Physician Assistant | 888 Montgomery St, Apt F12, Brooklyn, NY 11213-5888 | 2015-12-31 |
| 1588039846 | Inna Kremen | Physician Assistant | 2829 Ocean Pkwy Ste 3, Brooklyn, NY 11235-7859 | 2015-12-11 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.