Active NPI
Mary Ruth Buchness MD Dermatologist PC
- Dermatology Physician
- New York, NY
National Provider Identifier
1609018985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 156839
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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 DirectoryLocations
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.