Organization Active NPI

Mary Ruth Buchness MD Dermatologist PC

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1609018985
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
156839 Issued in NY
Legal business name
MARY RUTH BUCHNESS MD DERMATOLOGIST PC
Practice address
560 Broadway
Suite 406
New York, NY 10012-3938
Phone
(212) 822-3515
Fax
(888) 317-8328
NPI assigned
Apr 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Mrs. Dawn Carrero
Title
Practice Administrator
Phone
(212) 822-3515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 156839 NY Primary

Addresses

Primary practice location

560 Broadway
Suite 406
New York, NY 10012-3938

Mailing address

560 Broadway
Suite 406
New York, NY 10012-3938
Phone (212) 822-3515

National Provider Directory

National Provider Directory

Locations

100 Crosby St
Rm 406
New York, NY 10012
Phone (212) 822-3515

560 Broadway
Ste 406
New York, NY 10012
Phone (212) 822-3515

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1609018985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 BROADWAY",
            "address_2": "SUITE 406",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123938",
            "telephone_number": "212-822-3515",
            "fax_number": "888-317-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 BROADWAY",
            "address_2": "SUITE 406",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123938",
            "telephone_number": "212-822-3515",
            "fax_number": "888-317-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY RUTH BUCHNESS MD DERMATOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "CARRERO",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "212-822-3515",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "156839",
            "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 Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.