DR. JOHN PAUL BUSTAMANTE MD
NPI 1023697372
Student in an Organized Health Care Education/Training Program in Paterson, NJ

Q: What is John Bustamante's NPI number?

The NPI number for John Bustamante is 1023697372. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Q: What is John Bustamante's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for John Bustamante was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 05, 2021PECOS Enrolled

703 MAIN ST, PATERSON, NJ 07503(973) 754-2671 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. John Paul Bustamante Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN PAUL BUSTAMANTE MD (NPI 1023697372) is an individual student in an organized health care education/training program in Paterson, New Jersey and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023697372

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JOHN PAUL BUSTAMANTECredential: MD

Location Address703 MAIN STPaterson, NJ 07503-2621

Mailing Address703 Main StPaterson, NJ 07503-2621

Phone(973) 754-2671

Sole ProprietorYes

Enumeration DateApril 5, 2021

NPPES CertifiedMarch 26, 2021

✔ NPI 1023697372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

703 MAIN ST, Paterson, NJ 07503

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Paul Bustamante Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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