Organization Active NPI

Rudolph a. Buckley, M.D., P.C.

  • Orthopaedic Surgery of the Spine Physician
  • Hamilton, NY
National Provider Identifier
1174755003
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
210879 Issued in NY
Legal business name
RUDOLPH A. BUCKLEY, M.D., P.C.
Practice address
85 College St
Hamilton, NY 13346-1227
Phone
(315) 824-1250
Fax
(315) 824-8961
NPI assigned
Aug 11, 2009
Last updated
Feb 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Ms. Patricia J Brown
Title
Practice Manager
Phone
(315) 824-1250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 210879 NY Primary

Addresses

Primary practice location

85 College St
Hamilton, NY 13346-1227

Mailing address

85 College St
Hamilton, NY 13346-1227
Phone (315) 824-1250

Other identifiers 1

IdentifierTypeStateIssuer
1235121633OtherNYINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1174755003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 COLLEGE ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461227",
            "telephone_number": "315-824-1250",
            "fax_number": "315-824-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 COLLEGE ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461227",
            "telephone_number": "315-824-1250",
            "fax_number": "315-824-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDOLPH A. BUCKLEY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "315-824-1250",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "210879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1235121633",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.