Nancy P Buckley, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD042302E Issued in PA

Practice address

6608 Castor Ave
Philadelphia, PA 19149-2120

Phone

(215) 342-7710

Fax

(215) 918-5776

NPI assigned

Sep 16, 2005

Last updated

Mar 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nancy.buckley@castoravenuepediatrics.chartmakerdirect.com

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.

• E&M Healthcare

  dba Castor Pediatrics

  • Pediatrics Physician
  • Phila, PA
  • NPI 1437781853
  NPD
• Castor Pediatrics PC

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1730118712
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1215922075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E ERIE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341011",
            "telephone_number": "215-427-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 CASTOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492120",
            "telephone_number": "215-342-7710",
            "fax_number": "215-918-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "NANCY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD042302E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1298594",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip Buckler, MD
• Amanda J Buckley, ED.S
• Bridget O'Connor Buckley, FNP-BC
• Kristine Julia Buckley, CRNP
• Lauren O'Brien Buckley, L.AC.
• Natosha Ivy Buckley, M.A.
• Bucks Family Therapy Center
• Bucks Philadelphia Medical Care Group
• Bucks Philadelphia Medical Care Group
• Bucks Philadelphia Medical Care GRP

• Pediatrics Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.