Mary J Buckley, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F331865-1 Issued in NY

Practice address

175 Route 340
Dominican Convent
Sparkill, NY 10976-1041

Phone

(914) 954-6822

Fax

(845) 359-3201

NPI assigned

Oct 12, 2010

Last updated

Oct 12, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary J Buckley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1286841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286841600000",
    "number": "1154631166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ROUTE 340",
            "address_2": "DOMINICAN CONVENT",
            "city": "SPARKILL",
            "state": "NY",
            "postal_code": "109761041",
            "telephone_number": "914-954-6822",
            "fax_number": "845-359-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ROUTE 340",
            "address_2": "DOMINICAN CONVENT",
            "city": "SPARKILL",
            "state": "NY",
            "postal_code": "109761041",
            "telephone_number": "914-954-6822",
            "fax_number": "845-359-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-12",
        "last_updated": "2010-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331865-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BUCKLEY",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Montanna Casey, ATC/L
• Karen M Curley, RD
• Dominican Convent of Our Lady of the Rosary (Dominican Holistic Health)
• Marilyn Eleanor Dunn, FNP
• Tami Edwards Festa, RN

• Family Nurse Practitioner in Sparkill, NY
• Providers in Sparkill, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.