Active NPI
Kerry Ann Buckley
- Social Worker
- Yonkers, NY
National Provider Identifier
1033496013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 35 Dock St
Yonkers, NY 10701-2733 - Phone
- (914) 965-1109
- Fax
- (914) 965-9705
- NPI assigned
- Nov 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
35 Dock St
Yonkers, NY 10701-2733
Mailing address
1156 N Broadway
Yonkers, NY 10701-1108
Phone (914) 965-3700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00355940 | Other | NY | AGENCY MEDICAID ID |
| 1285628552 | Other | NY | AGENCY NPI # |
| WVE061 | Other | NY | AGNECY MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julia Dyckman Andrus Memorial, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Andrus Childrens Center
- Community/Behavioral Health Agency
- White Plains, NY
- NPI 1285628552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1033496013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1156 N BROADWAY",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011108",
"telephone_number": "914-965-3700",
"fax_number": "914-965-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 DOCK ST",
"city": "YONKERS",
"state": "NY",
"postal_code": "107012733",
"telephone_number": "914-965-1109",
"fax_number": "914-965-9705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLEY",
"first_name": "KERRY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-04",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY MEDICAID ID",
"identifier": "00355940",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY NPI #",
"identifier": "1285628552",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGNECY MEDICARE ID",
"identifier": "WVE061",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.