1. Home
  2. Directory
  3. New Jersey
  4. Freehold
  5. Nurse Practitioner
  6. NPI Profile

MISS DINNAH BULOSAN APN
NPI 1386415636
Nurse Practitioner - Adult Health in Freehold, NJ

Active since January 15, 2024PECOS Enrolled
55-77 SCHANCK RD STE B-13, FREEHOLD, NJ 07728(732) 612-8485(732) 612-8483 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Dinnah Bulosan Apn NPPES

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

MISS DINNAH BULOSAN APN (NPI 1386415636) is an individual adult health provider in Freehold, New Jersey, licensed in New Jersey (26NJ14929000) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386415636
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMISS DINNAH BULOSANCredential: APN
Location Address55-77 SCHANCK RD STE B-13Freehold, NJ 07728-2964
Mailing Address12 Quarry CtEast Windsor, NJ 08520-3032 · (732) 796-3949 · Fax (732) 612-8483
Phone(732) 612-8485
Fax(732) 612-8483
Sole ProprietorNo
Enumeration DateJanuary 15, 2024
NPPES CertifiedJanuary 14, 2024
✔ NPI 1386415636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ14929000
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 26NJ14929000 (NJ)
55-77 SCHANCK RD STE B-13, Freehold, NJ 07728
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Dinnah Bulosan Apn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. MANISH PRAVIN KHETANI M.D
Internal Medicine
55-77 SCHANCK RD STE B-13
FREEHOLD, NJ 07728
Monmouth County (732) 612-8485
K MEDICAL ASSOCIATES PC
Internal Medicine
55-77 SCHANCK RD STE B-13
FREEHOLD, NJ 07728
Monmouth County (732) 612-8485

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dinnah Bulosan's NPI number?

The NPI number for Dinnah Bulosan is 1386415636. It was assigned to this individual provider in the NPPES registry on January 15, 2024.

Where is Dinnah Bulosan located?

Dinnah Bulosan practices at 55-77 Schanck Rd Ste B-13, Freehold, NJ 07728. The listed phone number is (732) 612-8485.

What is Dinnah Bulosan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Dinnah Bulosan enrolled in Medicare?

Yes. Dinnah Bulosan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dinnah Bulosan was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.