NPIMap

Organization Active NPI

Bucks ENT Associates, P.C.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Langhorne, PA
National Provider Identifier
1114912177
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
Legal business name
BUCKS ENT ASSOCIATES, P.C.
Practice address
3 Cornerstone Dr
Suite 703
Langhorne, PA 19047-1320
Phone
(267) 689-1000
Fax
(267) 689-1008
NPI assigned
Sep 15, 2005
Last updated
Nov 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Authorized official

Name
Dr. Benjamin Steven Chack, D.O.NPI 1649265752
Title
Physician/Surgeon
Phone
(267) 689-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X PA Primary

Addresses

Primary practice location

3 Cornerstone Dr
Suite 703
Langhorne, PA 19047-1320

Mailing address

3 Cornerstone Dr
Suite 703
Langhorne, PA 19047-1320
Phone (267) 689-1000

Other identifiers 6

IdentifierTypeStateIssuer
0572893000OtherPAAMERIHEALTH
0603546OtherPAUSHC
0572893000OtherPAKHPE
730482OtherPABLUE SHIELD PA
730482OtherPAPERSONAL CHOICE
1158976003OtherPACIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040707001344 PA Part B Supplier - Clinic/Group Practice 9234117243 Receives reassigned benefits from 7 practitioners
Practice locations: Langhorne, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1114912177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CORNERSTONE DR",
            "address_2": "SUITE 703",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471320",
            "telephone_number": "267-689-1000",
            "fax_number": "267-689-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CORNERSTONE DR",
            "address_2": "SUITE 703",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471320",
            "telephone_number": "267-689-1000",
            "fax_number": "267-689-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKS ENT ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "CHACK",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PHYSICIAN/SURGEON",
        "authorized_official_telephone_number": "267-689-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0572893000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USHC",
            "identifier": "0603546",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPE",
            "identifier": "0572893000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PA",
            "identifier": "730482",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "730482",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1158976003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.