Organization Active NPI

Buxton Family Practice PLLC

  • Clinic/Center
  • Bronx, NY
National Provider Identifier
1376759720
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
219669 Issued in NY
Legal business name
BUXTON FAMILY PRACTICE PLLC
Practice address
1250 Waters PL Ste 507
Bronx, NY 10461-2732
Phone
(718) 892-7770
Fax
(178) 897-7771
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Dr. Wayne Patrick Joseph, M.D.
Title
Physican
Phone
(718) 892-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 219669 NY Primary

Addresses

Primary practice location

1250 Waters PL Ste 507
Bronx, NY 10461-2732

Mailing address

3059 Edson Ave
Bronx, NY 10469-3225
Phone (718) 892-7770

Other identifiers 1

IdentifierTypeStateIssuer
2119400MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1376759720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3059 EDSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693225",
            "telephone_number": "718-892-7770",
            "fax_number": "178-897-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL STE 507",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612732",
            "telephone_number": "718-892-7770",
            "fax_number": "178-897-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUXTON FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "718-892-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "219669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2119400",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.