Richard Joseph Buckley Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

125872 Issued in NY

Practice address

4231 Maple Rd
Amherst, NY 14226-1097

Phone

(716) 837-9111

Fax

(716) 833-5135

NPI assigned

Dec 5, 2006

Last updated

Apr 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Amherst Surgical Associates PC

  • Surgical Physician Assistant
  • Amherst, NY
  • NPI 1629104088
  Authorized official Same address or phone

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1316005614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 MAPLE RD",
            "address_2": "AMHERST SURGICAL ASSOCIATES",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261097",
            "telephone_number": "716-837-9111",
            "fax_number": "716-833-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 MAPLE RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261097",
            "telephone_number": "716-837-9111",
            "fax_number": "716-833-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "125872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010022101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1701469",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD BLUE CROSS",
            "identifier": "000507543001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00670640060",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula M Browning, MED, ATC
• Sara S Brownschidle, M.D.
• Madison Brunke, PT
• Karen Bruno, MRI TECHNOLOGIST
• Lisa Brzeczkowski, MA, CCC-SLP, LICENSE
• Glenn Robert Buczkowski, PA-C
• James L Budny, M.D.
• Buffalo Amherst Allergy Associates P.C.
• Buffalo Athletic Club Suburban, Inc.
• Buffalo Beacon Corporation (Beacon Center)

• Surgery Physician in Amherst, NY
• Providers in Amherst, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.