Active NPI
Daniel Buccino
- Athletic Trainer
- Dunellen, NJ
National Provider Identifier
1376083022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 434 4TH St
Dunellen, NJ 08812-1122 - Phone
- (908) 202-7099
- NPI assigned
- Feb 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
434 4TH St
Dunellen, NJ 08812-1122
Mailing address
400 E Brown St Apt 624C
East Stroudsburg, PA 18301-7812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U2059409605 | Other | NJ | CIGNA HEALTH AND LIFE INSURANCE CO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1376083022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E BROWN ST APT 624C",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183017812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 4TH ST",
"city": "DUNELLEN",
"state": "NJ",
"postal_code": "088121122",
"telephone_number": "908-202-7099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCCINO",
"first_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-28",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH AND LIFE INSURANCE CO.",
"identifier": "U2059409605",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dunellen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.