Individual provider Active NPI

Joseph Albert Buenahora, DPM

  • Podiatrist
  • East Meadow, NY
National Provider Identifier
1205872082
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003848-1 Issued in NY
Practice address
477 Newbridge Rd
East Meadow, NY 11554-4121
Phone
(516) 679-1338
Fax
(516) 679-2759
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003848-1 NY Primary

Addresses

Primary practice location

477 Newbridge Rd
East Meadow, NY 11554-4121

Mailing address

477 Newbridge Rd
East Meadow, NY 11554-4121
Phone (516) 679-1338

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1205872082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 NEWBRIDGE RD",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544121",
            "telephone_number": "516-679-1338",
            "fax_number": "516-679-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 NEWBRIDGE RD",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544121",
            "telephone_number": "516-679-1338",
            "fax_number": "516-679-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENAHORA",
        "first_name": "JOSEPH",
        "middle_name": "ALBERT",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003848-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.