Dr Jose R Bustillo, DO - Medicare Internal Medicine in Newark, NJ

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Dr Jose R Bustillo, DO is a medicare enrolled "Internal Medicine" physician in Newark, New Jersey. His current practice location is 201 Lyons Ave, Newark, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 926-7000.

Dr Jose R Bustillo is licensed to practice in New Jersey (license number 25MB09447600) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679972947.

Contact Information

Dr Jose R Bustillo, DO
201 Lyons Ave,
Newark, NJ 07112-2027
(973) 926-7000
Not Available

Map and Direction




Physician's Profile

Full NameDr Jose R Bustillo
GenderMale
SpecialityInternal Medicine
Location201 Lyons Ave, Newark, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679972947
  • Provider Enumeration Date: 08/22/2014
  • Last Update Date: 08/22/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3971724733
  • Enrollment ID: I20141020000879

Medical Identifiers

Medical identifiers for Dr Jose R Bustillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679972947NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MB09447600 (New Jersey)Primary
208000000XPediatrics 25MB09447600 (New Jersey)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jose R Bustillo allows following entities to bill medicare on his behalf.
Entity NameNbimc Department Of Internal
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114985702
PECOS PAC ID: 7113814401
Enrollment ID: O20040302000344
Entity NameUniversity Physician Associates Of New Jersey Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679583272
PECOS PAC ID: 9830003417
Enrollment ID: O20050119000443
Entity NameRwjbh Observation Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760095806
PECOS PAC ID: 5193137503
Enrollment ID: O20201209000008
Entity NameRwjbh Primary Care Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265037501
PECOS PAC ID: 0749699346
Enrollment ID: O20210512000720

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jose R Bustillo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jose R Bustillo, DO
2414 Edward Stec Blvd,
Edison, NJ 08837-7008

Ph: (908) 451-2200		Dr Jose R Bustillo, DO
201 Lyons Ave,
Newark, NJ 07112-2027

Ph: (973) 926-7000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.