Individual provider Active NPI

Janet Marian Buckner, M.D.

  • Psychiatry Physician
  • Merrick, NY
National Provider Identifier
1508081621
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
195453 Issued in NY
Practice address
1991 Smith St
Ste 200
Merrick, NY 11566-3578
Phone
(516) 833-6382
Fax
(917) 268-9752
NPI assigned
Apr 16, 2007
Last updated
Aug 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 195453 NY Primary

Addresses

Primary practice location

1991 Smith St
Ste 200
Merrick, NY 11566-3578

Mailing address

1991 Smith St
Ste 200
Merrick, NY 11566-3578
Phone (516) 833-6382

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050407000050 NY Practitioner - Psychiatry 7911954342 Practice locations: Merrick, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Morehouse School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1991 Smith St
Suite 200
Merrick, NY 11566-3578
Phone (516) 833-6382

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barry L. Feinberg MD PC Psychiatry PastSince Nov 1, 2006 Accepting new patients
Federation Employment and Guidance Service, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1508081621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 SMITH ST",
            "address_2": "STE 200",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663578",
            "telephone_number": "516-833-6382",
            "fax_number": "917-268-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 SMITH ST",
            "address_2": "STE 200",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663578",
            "telephone_number": "516-833-6382",
            "fax_number": "917-268-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "JANET",
        "middle_name": "MARIAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "195453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

Verify at the official NPI Registry.