Individual provider Active NPI

Rudolf D Bucci, FNP

  • Family Nurse Practitioner
  • Cheektowaga, NY
National Provider Identifier
1003954140
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
334059 Issued in NY
Practice address
928 French Rd Ste B
Cheektowaga, NY 14227-3632
Phone
(716) 668-2592
Fax
(716) 668-1383
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 334059 NY Primary

Addresses

Primary practice location

928 French Rd Ste B
Cheektowaga, NY 14227-3632

Mailing address

7 Sugarbush LN
Lancaster, NY 14086-3318
Phone (716) 656-0565

Other identifiers 1

IdentifierTypeStateIssuer
02564125MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111102000660 NY Practitioner - Nurse Practitioner 1850564188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wny Medical PCGroup PAC ID 9335191733, 44 clinicians

Practice addresses (Care Compare)

4979 Harlem Rd
Amherst, NY 14226-2547
Phone (716) 923-4380

Hospital & facility affiliations

  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
334059NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wny Medical PC Family CurrentSince Apr 21, 2020 Accepting new patients
Southtowns Internal Medicine PC PastSince Jun 16, 2014 Accepting new patients

Locations

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

135 Grant St
Buffalo, NY 14213
Phone (716) 881-4300

3884 Broadway St
Cheektowaga, NY 14227
Phone (716) 681-9000

6970 Erie Rd
Ste A
Derby, NY 14047
Phone (716) 947-9147

2600 S Park Ave
Lackawanna, NY 14218
Phone (716) 822-2028

3320 N Benzing Rd
Orchard Park, NY 14127
Phone (716) 667-2200

3595 Eggert Rd
Orchard Park, NY 14127
Phone (716) 662-2478

Interoperability endpoints

  • Direct secure messaging: rbucci@wnymedical.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1003954140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SUGARBUSH LN",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140863318",
            "telephone_number": "716-656-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 FRENCH RD STE B",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142273632",
            "telephone_number": "716-668-2592",
            "fax_number": "716-668-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCI",
        "first_name": "RUDOLF",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02564125",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.