Charles A. Buscema, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME97504 Issued in FL

Practice address

266 NW Peacock Blvd Ste 102
Port St Lucie, FL 34986-2271

Phone

(772) 618-0505

Fax

(772) 618-4692

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Human Technologies

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rome, NY
  • NPI 1417065426
  NPD (past)
• Human Technologies

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Utica, NY
  • NPI 1891703799
  NPD (past)
• Madison County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wampsville, NY
  • NPI 1689780546
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366495640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 LAURELS PL",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863268",
            "telephone_number": "772-618-0505",
            "fax_number": "772-618-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 NW PEACOCK BLVD STE 102",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862271",
            "telephone_number": "772-618-0505",
            "fax_number": "772-618-4692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 W Dominick St",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "NY",
            "postal_code": "134405812",
            "country_code": "US",
            "telephone_number": "315-334-9726",
            "fax_number": "315-336-8443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSCEMA",
        "first_name": "CHARLES",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NY",
            "license": "130769-2",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME97504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Burgos, RN
• Vanessa Alessandra Burgos, ARNP, FNP-C
• Haley Burke
• Kylie Nicole Burke I, BA
• Natalee Burke
• Elizabeth Ann Bussler
• Mikayla Renee Butcher
• Sinoda B Butler
• Butterfield Pharmacy & Medical Supply at SLW LLC
• Jay M Butterman, D.O.

• Psychiatry Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.