Active NPI
Victoria Rae Buck, AUD
- Audiologist
- Bala Cynwyd, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- O2-0010265
- Practice address
- 143 Bala Ave
Bala Cynwyd, PA 19004-3317 - Phone
- (610) 747-1100
- Fax
- (610) 747-1118
- NPI assigned
- Oct 13, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | O2-0010265 | DE | Primary |
Addresses
Primary practice location
143 Bala Ave
Bala Cynwyd, PA 19004-3317
Mailing address
143 Bala Ave
Bala Cynwyd, PA 19004-3317
Phone (610) 747-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O2-0010265 | DE | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Audiology, LLC | Audiologist | Current | Accepting new patients |
| Next Wave Pediatric ENT LLC | Current | Accepting new patients | |
| Rise Audiology, LLC | Current | Accepting new patients | |
| Rise Audiology, LLC | Audiologist | Current | Accepting new patients |
Locations
1940 Route 70 E
Ste 1
Cherry Hill, NJ 08003
Phone (609) 696-5929
143 Bala Ave
Bala Cynwyd, PA 19004
Phone (610) 747-1100
65 W Street Rd
Ste B104
Warminster, PA 18974
Phone (215) 672-4327
Organizations & group practices 4
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.
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- NPI 1639759962
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- NPI 1831911395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1457959371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 BALA AVE",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190043317",
"telephone_number": "610-747-1100",
"fax_number": "610-747-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 BALA AVE",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190043317",
"telephone_number": "610-747-1100",
"fax_number": "610-747-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "VICTORIA",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "DE",
"license": "O2-0010265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.