Loretto-Buckley Landing

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

520-S-124 Issued in NY

Legal business name

LORETTO-BUCKLEY LANDING

Practice address

7430 Buckley Rd
North Syracuse, NY 13212-1947

Phone

(315) 413-3688

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Maria Johnson

Title

Billing Supervisor

Phone

(315) 413-3688

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1891995932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 BUCKLEY RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 BUCKLEY RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121947",
            "telephone_number": "315-413-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORETTO-BUCKLEY LANDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "315-413-3688"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "520-S-124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01445330",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Liddell, PHARMD
• Parker William Lobel, PA
• Desiree L. Long, PA
• Marideli M Lopez, MD
• Loretto Independent Living Services Inc.
• Nathan Charles Loughlin, PT, DPT
• Maureen Lupica, N.P.
• Matthew John Lynam, DC
• Lynda Kreitzer DPM LLC
• Kirsten P Magowan, MD

• Assisted Living Facility in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.