Gary A Buck, CRNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

26NO09467800 Issued in NJ

Practice address

62 Tuckahoe Rd
Dorothy, NJ 08317-9702

Phone

(973) 957-0551

Fax

(866) 396-3054

NPI assigned

Oct 2, 2006

Last updated

Feb 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shore Surgical Assistant Service, LLC

  • Registered Nurse First Assistant
  • Dorothy, NJ
  • NPI 1104949528
  NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1891889382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083300331",
            "telephone_number": "973-957-0551",
            "fax_number": "866-396-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 TUCKAHOE RD",
            "city": "DOROTHY",
            "state": "NJ",
            "postal_code": "083179702",
            "telephone_number": "973-957-0551",
            "fax_number": "866-396-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "GARY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "CRNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "26NO09467800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Volunteer Fire Company Inc
• Elwyn New Jersey
• Kathleen Grizky, LCADC, CCS
• Bethany Suzanne Horvath
• Julie Elizabeth Powell, DC

• Registered Nurse First Assistant in Dorothy, NJ
• Providers in Dorothy, NJ by specialty
• Registered Nurse First Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.