Individual provider Active NPI

Edward Daniel Buch, MD

  • Vascular Surgery Physician
  • Hillsborough, NJ
National Provider Identifier
1174575369
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MAO48051 Issued in NJ
Practice address
611 Courtyard Drive
BLDG 600
Hillsborough, NJ 08844
Phone
(908) 722-0030
Fax
(908) 722-0188
NPI assigned
May 16, 2006
Last updated
Dec 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MAO48051 NJ Primary

Addresses

Primary practice location

611 Courtyard Drive
BLDG 600
Hillsborough, NJ 08844

Mailing address

611 Courtyard Drive
BLDG 600
Hillsborough, NJ 08844
Phone (908) 722-0030

Other identifiers 1

IdentifierTypeStateIssuer
0322504MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050817000478 NJ Practitioner - General SurgeryPractitioner - Vascular Surgery 2062452337 Reassigns benefits to 1 organization
I20230308000117 PA Practitioner - Vascular Surgery 2062452337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
State University of New York Downstate Medical Center, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-6157

Merit-based Incentive Payment System (MIPS)

Final score
79.88 of 100Reported as group
Quality
62.63
Promoting interoperability
100
Improvement activities
40
Cost
70.3

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MAO48051NJMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Health Partners CurrentSince Dec 1, 2019 Accepting new patients
Atlantic Health Partners CurrentSince Dec 1, 2019 Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Nov 1, 2024 Accepting new patients
Upmc Altoona Regional Health Services, Inc CurrentSince Feb 17, 2023 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Somerset Ambulatory Surgical Center, LLC PastSince Dec 5, 2003 Accepting new patients

Locations

611 Courtyard Dr
Bldg 600
Hillsborough, NJ 08844
Phone (908) 722-0030

333 US Highway 46
Ste 106
Mountain Lks, NJ 07046
Phone (973) 829-7965

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

800 Poplar Church Rd
Camp Hill, PA 17011
Phone (717) 761-6545

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1174575369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 COURTYARD DRIVE",
            "address_2": "BLDG 600",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "08844",
            "telephone_number": "908-722-0030",
            "fax_number": "908-722-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 COURTYARD DRIVE",
            "address_2": "BLDG 600",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "08844",
            "telephone_number": "908-722-0030",
            "fax_number": "908-722-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCH",
        "first_name": "EDWARD",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "MAO48051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0322504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.