Individual provider Active NPI

Caitlin Buckley

  • Family Nurse Practitioner
  • Garden City, NY
National Provider Identifier
1588577670
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
360362 Issued in NY
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.