Active NPI
Doru Buza MD
- Specialist
- Ridgewood, NY
National Provider Identifier
1770655094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 194378
- Legal business name
- DORU BUZA MD
- Practice address
- 6083 Myrtle Ave
Ridgewood, NY 11385-5908 - Phone
- (718) 628-1010
- NPI assigned
- Nov 14, 2006
- Last updated
- Jan 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doru Buza
- Title
- Sole Proprietor
- Phone
- (718) 628-1010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 194378 | NY | Primary |
Addresses
Primary practice location
6083 Myrtle Ave
Ridgewood, NY 11385-5908
Mailing address
6083 Myrtle Ave
Ridgewood, NY 11385-5908
Phone (718) 628-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01491670 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adolescent Medicine (Internal Medicine) Physician
- Ridgewood, NY
- NPI 1154364446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201737600000",
"number": "1770655094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6083 MYRTLE AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113855908",
"telephone_number": "718-628-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6083 MYRTLE AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113855908",
"telephone_number": "718-628-1010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DORU BUZA MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2008-01-31",
"status": "A",
"authorized_official_last_name": "BUZA",
"authorized_official_first_name": "DORU",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "718-628-1010"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "194378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01491670",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.