Active NPI
Caitlin Buckley
- Family Nurse Practitioner
- Garden City, NY
National Provider Identifier
1588577670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 360362
- Practice address
- 400 Garden City PLZ Ste 103
Garden City, NY 11530-3336 - Phone
- (631) 230-6644
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 360362 | NY | Primary |
Addresses
Primary practice location
400 Garden City PLZ Ste 103
Garden City, NY 11530-3336
Mailing address
400 Garden City PLZ Ste 103
Garden City, NY 11530-3336
Other practice location 1
554 Larkfield Rd Ste 10G
East Northport, NY 11731-4205
Phone (631) 230-6644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1588577670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 GARDEN CITY PLZ STE 103",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115303336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 GARDEN CITY PLZ STE 103",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115303336",
"telephone_number": "631-230-6644"
}
],
"practiceLocations": [
{
"address_1": "554 Larkfield Rd Ste 10G",
"address_purpose": "LOCATION",
"city": "East Northport",
"state": "NY",
"postal_code": "117314205",
"country_code": "US",
"telephone_number": "631-230-6644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCKLEY",
"first_name": "CAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "360362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.