Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Michael B Bautista, PA-C

Individual provider Physician Assistant · NPI 1215060090

Mr. Michael B Bautista, PA-C is a Physician Assistant in Flushing, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5645 Main St
Flushing, NY 11355-5045
Phone: (718) 670-2007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005701 (NY)

Record details

NPI number1215060090
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 13, 2007
Last updated in NPPESDecember 27, 2022
Certification dateDecember 27, 2022

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