Individual provider Active NPI

David P Buckley, PHD

  • Clinical Psychologist
  • Hamilton, NJ
National Provider Identifier
1720251341
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00375800 Issued in NJ
Practice address
3575 Quakerbridge Rd
Hamilton, NJ 08619-1205
Phone
(609) 631-2800
NPI assigned
Apr 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00375800 NJ Primary

Addresses

Primary practice location

3575 Quakerbridge Rd
Hamilton, NJ 08619-1205

Mailing address

3575 Quakerbridge Rd
Hamilton, NJ 08619-1205
Phone (609) 631-2800

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050519000543 NJ Practitioner - Clinical Psychologist 2567403512 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Azz Medical Associates PCGroup PAC ID 6002132685, 63 clinicians
Senior Care Therapy LLCGroup PAC ID 0547335366, 140 clinicians

Practice addresses (Care Compare)

1440 Pennington Rd
Suite 1
Ewing, NJ 08618-2669
Phone (609) 890-1050

85 Crescent Ave
Passaic, NJ 07055-2437
Phone (973) 264-0023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35SI00375800NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elderology, LLC CurrentSince Jun 25, 2024 Accepting new patients
Senior Care Therapy LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients
Azz Medical Associates PC CurrentSince Jan 27, 2026 Accepting new patients
State of New Jersey Omb Centralized Payroll Past Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

631 Broadway
Ste B2
Bayonne, NJ 07002
Phone (201) 823-4400

1440 Pennington Rd
Ste 1
Ewing, NJ 08618
Phone (609) 422-7928

288 Boulevard
Hasbrouck Heights, NJ 07604
Phone (201) 288-3000

61 Pearl St
Metuchen, NJ 08840
Phone (908) 514-8590

Organizations & group practices 4

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": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1720251341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 QUAKERBRIDGE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191205",
            "telephone_number": "609-631-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 QUAKERBRIDGE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191205",
            "telephone_number": "609-631-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00375800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.