LUCY P. BUCKLEY MD NPI 1891769618

NPI Information

NPI: 1891769618
Provider Name: LUCY P. BUCKLEY, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
Phone: (617) 355-6793
Get Directions

Lucy P. Buckley, MD is a pediatrics in Boston, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Lucy P. Buckley, MD NPI is 1891769618. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 LONGWOOD AVE
BOSTON, MA
ZIP 02115-724
Phone: (617) 355-6793

The NPI 1891769618 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/16/2006 and was last updated on 12/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0202X	Pediatrics	Pediatric Cardiology	MD06273	RHODE ISLAND	No
2	208000000X	Pediatrics		34323	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	M08249	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
2	069020085	MEDICARE ID-TYPE UNSPECIFIED	RHODE ISLAND
3	2025957	MEDICAID	MASSACHUSETTS
4	30004828	MEDICAID	NEW HAMPSHIRE
5	B75783	MEDICARE UPIN	MASSACHUSETTS
6	LB04124	MEDICAID	RHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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