Stephanus Busono, MD
Psychiatry & Neurology, Neurology in Somerset, New Jersey
1306888953- Practice location
- 77 Veronica Ave Ste 102, Somerset, NJ 08873-6804
- Phone
- 732-246-1311
- Fax
- 732-214-9657
- Last updated
- December 3, 2018
Stephanus Busono is a Psychiatry & Neurology, Neurology based in Somerset, NJ. Stephanus Busono practices in Somerset, NJ and has the professional credentials of MD. The NPI Number for Stephanus Busono is 1306888953 and holds a License No. MA069235 (NJ). The current practice location address for Stephanus Busono is 77 Veronica Ave Ste 102, Somerset, NJ 08873-6804 and can be reached out via phone at 732-246-1311 and via fax at 732-214-9657.
Provider Profile Details
- NPI Number
- 1306888953
- Provider Name
- Stephanus Busono
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 77 Veronica Ave Ste 102, Somerset, NJ 08873-6804
- Phone Number
- 732-246-1311
- Fax Number
- 732-214-9657
- Primary Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 11, 2006
- Last Update Date
- December 3, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 77 Veronica Ave Ste 102
Somerset, NJ 08873-6804 - City
- Somerset
- State
- New Jersey
- Zip
- 08873-6804
- Phone Number
- 732-246-1311
- Fax Number
- 732-214-9657
Provider Business Mailing Address Details
- Address
- 77 Veronica Ave Ste 102
Somerset, NJ 08873-6804 - City
- Somerset
- State
- NJ
- Zip
- 08873-6804
- Phone Number
- 732-246-1311
- Fax Number
- 732-214-9657
License Information
- License Number
- MA069235
- License State
- NJ
- Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Stephanus Busono, MD?
The NPI number of Stephanus Busono, MD is 1306888953. It was assigned on June 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Stephanus Busono, MD?
Stephanus Busono, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in NJ under license number MA069235.
Where does Stephanus Busono, MD practice?
The practice location is 77 Veronica Ave Ste 102, Somerset, NJ 08873-6804. The office can be reached at 732-246-1311 (phone) or 732-214-9657 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306888953 directly on the NPPES registry website.