Individual provider Active NPI

Alexsandra Noelle Buckley, MED

  • Audiologist
  • Woodbridge, NJ
National Provider Identifier
1649495128
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
527 Issued in NJ
Practice address
1 Woodbridge Center 211
Jewelry Exchange Building
Woodbridge, NJ 07095
Phone
(732) 636-2645
Fax
(732) 636-1043
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 527 NJ Primary

Addresses

Primary practice location

1 Woodbridge Center 211
Jewelry Exchange Building
Woodbridge, NJ 07095

Mailing address

1885 Lake Ave
Scotch Plains, NJ 07076-2919
Phone (908) 654-9621

Other identifiers 1

IdentifierTypeStateIssuer
2355758OtherNJAETNA PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260602001798 NJ Practitioner - Qualified Audiologist 2466707187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1941 Oak Tree Rd
Suite 304
Edison, NJ 08820-2059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
527NJMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Speech & Hearing Aid Dispensing Assoc of NJ Audiologist CurrentSince Apr 11, 2026 Accepting new patients

Locations

1941 Oak Tree Rd
Ste 304
Edison, NJ 08820
Phone (732) 636-2645

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649495128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 LAKE AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070762919",
            "telephone_number": "908-654-9621",
            "fax_number": "732-636-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WOODBRIDGE CENTER 211",
            "address_2": "JEWELRY EXCHANGE BUILDING",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "07095",
            "telephone_number": "732-636-2645",
            "fax_number": "732-636-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "ALEXSANDRA",
        "middle_name": "NOELLE",
        "name_prefix": "Miss",
        "credential": "MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "2355758",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.