Active NPI
Ian David Buckingham, MD
- Psychiatry Physician
- New York, NY
National Provider Identifier
1497784375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 139871
- Practice address
- 244 Madison Ave
4A
New York, NY 10016-2817 - Phone
- (212) 986-0997
- NPI assigned
- Jul 2, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 139871 | NY | Primary |
Addresses
Primary practice location
244 Madison Ave
4A
New York, NY 10016-2817
Mailing address
244 Madison Ave
4A
New York, NY 10016-2817
Phone (212) 986-0997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139871 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1497784375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 MADISON AVE",
"address_2": "4A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162817",
"telephone_number": "212-986-0997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 MADISON AVE",
"address_2": "4A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162817",
"telephone_number": "212-986-0997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKINGHAM",
"first_name": "IAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "139871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.