Physician Compare National (NPI:1427347780)

HEALTHCARE PROVIDER: ALVIN BULAHAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1427347780
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5991929564
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140623000699
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BULAHAN
	Individual professional last name
Provider First Name	ALVIN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	RUTGERS NEW JERSEY MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	EMERGENCY PHYSICIANS OF ENGLEWOOD, PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9335384437
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	7
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	350 ENGLE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	ENGLEWOOD HOSPITAL AND MEDICAL CENTER
	Group Practice or individual's line 2 address
City	ENGLEWOOD
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	076311808
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2018943450
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310070
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT PETER'S UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310045
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ENGLEWOOD HOSPITAL AND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y