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ANDREA BUKALAN PA
NPI 1508465139
Physician Assistant in Garden City, NY

Active since October 24, 2020PECOS EnrolledAccepts Medicare Assignment
1111 FRANKLIN AVE, GARDEN CITY, NY 11530(516) 344-0165 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2025, Oct 24, 2020 (2 updates tracked since 2020).

About Andrea Bukalan Pa NPPES

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

ANDREA BUKALAN PA (NPI 1508465139) is an individual physician assistant in Garden City, New York, licensed in New York (024776) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1508465139
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANDREA BUKALANCredential: PA
Location Address1111 FRANKLIN AVEGarden City, NY 11530-1617
Mailing Address21 Barstow Rd Apt 2fGreat Neck, NY 11021-2203
Phone(516) 344-0165
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 24, 2020
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1508465139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 024776
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1111 FRANKLIN AVE, Garden City, NY 11530
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Bukalan Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789106113
PECOS Enrollment IDI20250314002382
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 11530 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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 20

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

PETER MALAMAS MD
Internal Medicine (Cardiovascular Disease)
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Nassau County (516) 222-8600
ADIBA A GEETI MD
Internal Medicine (Pulmonary Disease)
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Nassau County (516) 663-2834
MARIYANTHIE LINARIS
Physician Assistant
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Nassau County (516) 663-2066
ANNY LIN MD
Student in an Organized Health Care Education/Training Program
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Nassau County (516) 222-8600
JAYCY THOMAS NP
Nurse Practitioner (Family)
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Nassau County (516) 663-3511
DR. ALLIREZA AHMED ALLOO M.D.
Dermatology
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Nassau County (516) 739-1141
MR. THOMAS EDWARD GATTO JR. MS, RD, CDN
Dietitian, Registered
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Nassau County (516) 663-1665
DR. RAYMOND G FERGUSON JR. D.P.M
Podiatrist (Foot & Ankle Surgery)
1111 FRANKLIN AVE
GARDEN CITY, NY 11530
Nassau County (516) 742-3100

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 Andrea Bukalan's NPI number?

The NPI number for Andrea Bukalan is 1508465139. It was assigned to this individual provider in the NPPES registry on October 24, 2020.

Where is Andrea Bukalan located?

Andrea Bukalan practices at 1111 Franklin Ave, Garden City, NY 11530. The listed phone number is (516) 344-0165.

What is Andrea Bukalan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andrea Bukalan enrolled in Medicare?

Yes. Andrea Bukalan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andrea Bukalan was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.