Provider Demographics
NPI:1427223270
Name:BUGA, ADRIANA (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:
Last Name:BUGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 ROUTE 66
Mailing Address - Street 2:FL 3
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-2645
Mailing Address - Country:US
Mailing Address - Phone:732-807-0800
Mailing Address - Fax:201-751-1680
Practice Address - Street 1:343 GOLD ST
Practice Address - Street 2:APT 3010
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3055
Practice Address - Country:US
Practice Address - Phone:718-552-3162
Practice Address - Fax:718-552-3162
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA110291002084P0800X
NY2545982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJNJDCATEMP-029885OtherNEW JERSEY EMERGENCY LICENSE