Patrick M Buddle, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MA04418200 Issued in NJ

Practice address

700 Highway 71
Sea Girt, NJ 08750-2805

Phone

(732) 974-8100

Fax

(732) 974-9125

NPI assigned

Oct 5, 2005

Last updated

Jan 26, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Sea Girt Physical Medicine and Rehabilitation Associates, LLC

  • Physical Medicine & Rehabilitation Physician
  • Manasquan, NJ
  • NPI 1407004195
  Medicare reassignment NPD
• Premier Rehabilitation Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Sea Girt, NJ
  • NPI 1225513500
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1013904853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HIGHWAY 71",
            "address_2": "SUITE 2",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087502805",
            "telephone_number": "732-974-8100",
            "fax_number": "732-974-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HIGHWAY 71",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087502805",
            "telephone_number": "732-974-8100",
            "fax_number": "732-974-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDLE",
        "first_name": "PATRICK",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MA04418200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3919706",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Braces at Sea Girt LLC
• Lyssa Bramson, M.A.
• Brighter Smiles Family Dental, PA
• Isabelle C Brousse, PT, DPT
• Neila Buday, ATC
• Yuemei Cai
• Elisabeth Card, LCSW
• Carebridge Home Care, LLC
• Change of Heart Cardiology, LLC
• Barbara Michelle Chas, PSY.D.

• Physical Medicine & Rehabilitation Physician in Sea Girt, NJ
• Providers in Sea Girt, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.