NPIMap

Individual provider Active NPI

Luigi Buono, DO

  • Family Medicine Physician
  • Mattituck, NY
National Provider Identifier
1609816909
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
191456-1 Issued in NY
Practice address
7905 Main Rd
Mattituck, NY 11952-1518
Phone
(631) 298-2030
Fax
(631) 298-8915
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 191456-1 NY Primary

Addresses

Primary practice location

7905 Main Rd
Mattituck, NY 11952-1518

Mailing address

185 Old Country Rd
Suite 2
Riverhead, NY 11901-2121
Phone (631) 298-4479

Other identifiers 1

IdentifierTypeStateIssuer
1480533MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080428000595 NY Practitioner - Family Practice 1456439660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peconic Bay Primary Medical Care 72 clinicians

Practice addresses (Care Compare)

7905 Main Rd
Mattituck, NY 11952-1693
Phone (631) 298-2030

Hospital & facility affiliations

  • Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
  • Centerwell Home Health Home health agency, Hauppauge, NY, CCN 337232
  • Extended Home Care Home health agency, Brooklyn, NY, CCN 337414
  • East End Hospice, Inc Hospice, Westhampton Beach, NY, CCN 331546
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • Peconic Bay Medical Center Hospital, Riverhead, NY, CCN 330107

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
191456-1NYMDFamily Medicine Physician

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
Peconic Bay Primary Medical Care CurrentSince Jul 1, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

240 W Montauk Hwy
Hampton Bays, NY 11946
Phone (631) 728-1300

7905 Main Rd
Mattituck, NY 11952
Phone (631) 244-2930

185 Old Country Rd
Ste 2
Riverhead, NY 11901
Phone (631) 298-4479

34 Commerce Ave
Riverhead, NY 11901
Phone (631) 591-3000

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lbuono65451@northwell.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1609816909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 OLD COUNTRY RD",
            "address_2": "SUITE 2",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012121",
            "telephone_number": "631-298-4479",
            "fax_number": "631-591-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 MAIN RD",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119521518",
            "telephone_number": "631-298-2030",
            "fax_number": "631-298-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONO",
        "first_name": "LUIGI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "191456-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1480533",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattituck, NY

Sources for this page

Verify at the official NPI Registry.