Active NPI
Alexsandra Noelle Buckley, MED
- Audiologist
- Woodbridge, NJ
National Provider Identifier
1649495128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 527
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2355758 | Other | NJ | AETNA PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 527 | NJ | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Speech & Hearing Aid Dispensing Assoc of NJ | Audiologist | Current | 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.
-
- Audiologist
- Edison, NJ
- NPI 1235078973
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.