Individual provider Active NPI

Warren Gregory Buck, MD

  • Cardiovascular Disease Physician
  • Edison, NJ
National Provider Identifier
1720019532
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA0316500 Issued in NJ
Practice address
111 James Street
Edison, NJ 08820-3967
Phone
(732) 549-2299
Fax
(732) 549-2262
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA0316500 NJ
Cardiovascular Disease Physician 207RC0000X 25MA0316500 NJ Primary

Addresses

Primary practice location

111 James Street
Edison, NJ 08820-3967

Mailing address

111 James Street
Edison, NJ 08820-3967
Phone (732) 549-2299

Other identifiers 1

IdentifierTypeStateIssuer
0485802MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000041 NJ Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8729011200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Menlo Park Medical Group P.a.Group PAC ID 2769677301, 2 clinicians

Practice addresses (Care Compare)

111 James St
Edison, NJ 08820-3967
Phone (732) 549-2299

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA0316500NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Menlo Park Medical Group P.a. Internal Medicine CurrentSince Jan 1, 1989 Accepting new patients
The New Jersey Imaging Network, LLC CurrentSince Oct 1, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

27695 Network Pl
Chicago, IL 60673

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

3830 Park Ave
Edison, NJ 08820
Phone (732) 494-0895

111 James St
Edison, NJ 08820
Phone (732) 452-9700

111 James St
Fl 2
Edison, NJ 08820
Phone (732) 991-6882

Organizations & group practices 3

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1720019532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JAMES STREET",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203967",
            "telephone_number": "732-549-2299",
            "fax_number": "732-549-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JAMES STREET",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203967",
            "telephone_number": "732-549-2299",
            "fax_number": "732-549-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "WARREN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA0316500",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA0316500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0485802",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.