Active NPI
Jody-Ann Roxanne Buckle, F.N.P
- Psychiatric/Mental Health Nurse Practitioner
- White Plains, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F406937
- Practice address
- PO Box 1876
White Plains, NY 10602-1876 - Phone
- (914) 734-5122
- Fax
- (309) 329-5154
- NPI assigned
- Sep 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F406937 | NY | Primary |
| Family Nurse Practitioner | 363LF0000X | F336465 | NY |
Addresses
Primary practice location
PO Box 1876
White Plains, NY 10602-1876
Mailing address
PO Box 1876
White Plains, NY 10602-1876
Phone (914) 734-5122
Other practice location 1
2626 Halperin Ave
Bronx, NY 10461-2631
Phone (914) 734-5122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03404877 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7 Croton Ave
Cortlandt Manor, NY 10567-5203
Phone (914) 962-5800
7810 164TH St
Fresh Meadows, NY 11366-1229
Phone (718) 709-0940
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F336465 | NY | MD | Family Nurse Practitioner |
| F406937 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Urgent Care, PLLC | Current | Accepting new patients | |
| Peyman Younesi MD PLLC | Current | Accepting new patients | |
| Medagent Corp | Current | Accepting new patients | |
| My Medical PC | Current | Accepting new patients | |
| Statline Medical PC | Current | Accepting new patients | |
| Middlesex Psychiatry & TMS PC | Past | Accepting new patients |
Locations
3438 Bell Blvd
Ste 301
Bayside, NY 11361
147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204
2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295
7 Croton Ave
Cortlandt Mnr, NY 10567
Phone (914) 962-5800
8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777
7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200
9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133
555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070
2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131
822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207
451 Broad St
Salamanca, NY 14779
Phone (716) 945-1800
297 N Ballston Ave
Scotia, NY 12302
Phone (518) 370-4700
200 White Plains Rd
Ste 110
Tarrytown, NY 10591
Phone (914) 848-4343
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Cortlandt Manor, NY
- NPI 1245301928
-
- Internal Medicine Physician
- Fresh Meadows, NY
- NPI 1891053328
-
- Urgent Care Clinic/Center
- Jericho, NY
- NPI 1285975797
-
- Internal Medicine Physician
- Cortlandt Manor, NY
- NPI 1942872759
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1720634538
-
- Family Medicine Physician
- Valley Cottage, NY
- NPI 1518637891
-
- Psychiatry Physician
- Fairfield, NJ
- NPI 1053971572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1295043032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1876",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106021876",
"telephone_number": "914-734-5122",
"fax_number": "309-329-5154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 1876",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106021876",
"telephone_number": "914-734-5122",
"fax_number": "309-329-5154"
}
],
"practiceLocations": [
{
"address_1": "2626 Halperin Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104612631",
"country_code": "US",
"telephone_number": "914-734-5122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCKLE",
"first_name": "JODY-ANN",
"middle_name": "ROXANNE",
"name_prefix": "Ms.",
"credential": "F.N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F406937",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F336465",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03404877",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.