NPIMap

Individual provider Active NPI

Ronald J Buckley, MD

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1467448555
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD020876E Issued in PA
Practice address
1210 Hanover Ave
Allentown, PA 18109-2017
Phone
(610) 437-6490
Fax
(610) 437-4151
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD020876E PA Primary

Addresses

Primary practice location

1210 Hanover Ave
Allentown, PA 18109-2017

Mailing address

421 W Chew St
Allentown, PA 18102-3406
Phone (610) 776-5315

Other identifiers 6

IdentifierTypeStateIssuer
01397201OtherCBC
020766OtherHIGHMARK BLUE SHIELD
0040768000OtherIBC
P003146OtherGATEWAY
0017586300001MedicaidPA
1129063OtherAMERIHEALTH MERCY HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110218000542 PA Practitioner - Family Practice 7012198484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Star Community Health IncGroup PAC ID 7618215237, 56 clinicians

Practice addresses (Care Compare)

450 Chew St
Allentown, PA 18102-3434
Phone (610) 776-4888

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD020876EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Feb 2, 2019 Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine Current Accepting new patients
St Luke'S Physician Group Inc Family Medicine CurrentSince Jun 23, 2018 Accepting new patients
Star Community Health, Inc CurrentSince Feb 2, 2019 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jun 23, 2018 Accepting new patients
Sacred Heart Healthcare System Family Medicine Past Accepting new patients
Sacred Heart Healthcare System Family Medicine Past Accepting new patients

Locations

450 Chew St
Ste 101
Allentown, PA 18102
Phone (610) 776-4565

450 Chew St
#101
Allentown, PA 18102
Phone (610) 776-4888

450 Chew St
Ste 204
Allentown, PA 18102
Phone (610) 776-4758

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

450 Chew St
Allentown, PA 18102
Phone (610) 776-4802

1208 Hanover Ave
Allentown, PA 18109
Phone (610) 437-6490

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

602 E 21st St
Ste 400
Northampton, PA 18067
Phone (610) 262-1519

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1467448555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023406",
            "telephone_number": "610-776-5315",
            "fax_number": "610-663-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 HANOVER AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181092017",
            "telephone_number": "610-437-6490",
            "fax_number": "610-437-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "RONALD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD020876E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC",
            "identifier": "01397201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "020766",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0040768000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "P003146",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017586300001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY HEALTH",
            "identifier": "1129063",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.