Organization Active NPI

William F Buffone

  • Durable Medical Equipment & Medical Supplies
  • East Setauket, NY
National Provider Identifier
1609044239
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N004443 Issued in NY
Legal business name
WILLIAM F BUFFONE
Practice address
359 Old Town Rd
East Setauket, NY 11733-3449
Phone
(631) 474-3338
Fax
(631) 403-4148
NPI assigned
Feb 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Dr. William F Buffone, D.P.M.
Title
Owner
Phone
(631) 765-6777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X N004443 NY Primary

Addresses

Primary practice location

359 Old Town Rd
East Setauket, NY 11733-3449

Mailing address

359 Old Town Rd
East Setauket, NY 11733-3449
Phone (631) 765-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930021810 NY DME Supplier - Physician - Podiatry 8426178120 Practice locations: East Setauket, NY

National Provider Directory

National Provider Directory
Tax ID family
William F Buffone DPM4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1228 E Main St
Ste B
Riverhead, NY 11901
Phone (631) 419-7107

359 Old Town Rd
Setauket, NY 11733
Phone (631) 474-3338

NPI Registry JSON

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

{
    "created_epoch": "1203206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1609044239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 OLD TOWN RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333449",
            "telephone_number": "631-765-6777",
            "fax_number": "631-765-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 OLD TOWN RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333449",
            "telephone_number": "631-474-3338",
            "fax_number": "631-403-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM F BUFFONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-17",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "BUFFONE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-765-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N004443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.