Active NPIIndividual providerSole proprietor

John M Buckley, REGISTERED NURSE

Registered Nurse in Lake Como, New Jersey

NPI Number1073673950
Practice location
735 19TH Ave, Lake Como, NJ 07719-2902
Fax
—
Last updated
July 8, 2007

John Matthew Buckley is a Registered Nurse based in Lake Como, NJ. John Matthew Buckley practices in Lake Como, NJ and has the professional credentials of REGISTERED NURSE. The NPI Number for John Matthew Buckley is 1073673950 and holds a License No. 26n011085800 (NJ). The current practice location address for John Matthew Buckley is 735 19TH Ave, Lake Como, NJ 07719-2902 and can be reached out via phone at 732-681-7413.

Provider Profile Details

NPI Number
1073673950
Provider Name
John Matthew Buckley
Credential
REGISTERED NURSE
Provider Entity Type
Individual
Gender
Male
Address
735 19TH Ave, Lake Como, NJ 07719-2902
Phone Number
732-681-7413
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 11, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
735 19TH Ave
Lake Como, NJ 07719-2902
Zip
07719-2902
Phone Number
732-681-7413
Lake Como, NJ 07719Get directions →

Provider Business Mailing Address Details

Address
735 19TH Ave
Lake Como, NJ 07719-2902
City
Lake Como
State
NJ
Zip
07719-2902
Phone Number
732-681-7413

License Information

License Number
26n011085800
License State
NJ
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of John M Buckley, REGISTERED NURSE?

The NPI number of John M Buckley, REGISTERED NURSE is 1073673950. It was assigned on December 11, 2006 and is currently active in the NPPES registry.

What is the specialty of John M Buckley, REGISTERED NURSE?

John M Buckley, REGISTERED NURSE is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NJ under license number 26n011085800.

Where does John M Buckley, REGISTERED NURSE practice?

The practice location is 735 19TH Ave, Lake Como, NJ 07719-2902. The office can be reached at 732-681-7413 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073673950 directly on the NPPES registry website.

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