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BUSTLETON HEALTHCARE
NPI 1588107668
Clinic/Center - Primary Care in Philadelphia, PA

Active since November 22, 2016
9867 BUSTLETON AVE, SUITE B, PHILADELPHIA, PA 19115(215) 698-9295 Get Directions Write a Review

NPPES record last updated: November 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bustleton Healthcare NPPES

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

BUSTLETON HEALTHCARE (NPI 1588107668) is a healthcare organization registered as a primary care in Philadelphia, Pennsylvania and active in the NPI registry since November 2016. The organization lists Irina Joukova, President, as its authorized official.

NPPES Registry Identity

NPI1588107668
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBUSTLETON HEALTHCARE
Location Address9867 BUSTLETON AVE, SUITE BPhiladelphia, PA 19115-2611
Mailing Address9867 Bustleton Ave, Suite BPhiladelphia, PA 19115-2611
Phone(215) 698-9295
Organization SubpartYesParent: Cardiology Consultants Of Greater Philadelphia Pc
Authorized OfficialIrina JoukovaPresident · (267) 307-9236
Enumeration DateNovember 22, 2016
✔ NPI 1588107668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in PA · MD 435017
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License MD 435017 (PA)
9867 BUSTLETON AVE, Philadelphia, PA 19115
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Other Identifiers 2

Medicaid102790572 0001PA
Medicare PIN1023356144PA

Other Providers at the Same Location NPPES

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

AVELLINA, INC
Internal Medicine
9867 BUSTLETON AVE
PHILADELPHIA, PA 19115
Philadelphia County (215) 676-9333

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 Bustleton Healthcare's NPI number?

The NPI number for Bustleton Healthcare is 1588107668. It was assigned to this organization in the NPPES registry on November 22, 2016.

Where is Bustleton Healthcare located?

Bustleton Healthcare is located at 9867 Bustleton Ave Suite B, Philadelphia, PA 19115. The listed phone number is (215) 698-9295.

What is Bustleton Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Bustleton Healthcare was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.