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Danielle Kristan Bulauitan

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1945 State Route 33, Neptune, NJ 07753-4859

PECOS Enrollment

This provider is enrolled in PECOS as DANIELLE BULAUITAN.

Based on the most recent information from CMS, provider Danielle Kristan Bulauitan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1033497565
Provider Type
Individual
Full Name
Bulauitan, Danielle Kristan
Credential
M.S, PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
8/2/2011
Last Updated
12/20/2019

Contact Information

Practice Location

1945 State Route 33, Neptune, NJ 07753-4859

(732) 776-2918

Unlisted Fax

Mailing Location

655 Shrewsbury Ave, Shrewsbury, NJ 07702-4179

(732) 345-1180

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 25MP00257200 New Jersey

Danielle Kristan Bulauitan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Bradley, Mollie

Kibbe, Erica

Caudill, Cheryl E

Khan, Haroon M

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Mann, Marissa

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Leviton, Rebecca Joy

Misbah, Sarah Danielle