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NATHAN DANIEL BUCKLEY PA-C
NPI 1003685850
Physician Assistant - Surgical in Newton, MA

Active since December 21, 2023PECOS Enrolled
2014 WASHINGTON ST, NEWTON, MA 02462(617) 243-6000 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2026, Mar 7, 2025 (2 updates tracked since 2025).

About Nathan Daniel Buckley Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN DANIEL BUCKLEY PA-C (NPI 1003685850) is an individual surgical provider in Newton, Massachusetts, licensed in Massachusetts (PA101464) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2025).

NPPES Registry Identity

NPI1003685850
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameNATHAN DANIEL BUCKLEYCredential: PA-C
Location Address2014 WASHINGTON STNewton, MA 02462-1699
Mailing Address2014 Washington StNewton, MA 02462-1699 · (617) 243-6000
Phone(617) 243-6000
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2025
Enumeration DateDecember 21, 2023
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1003685850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MA · PA101464
2014 WASHINGTON ST, Newton, MA 02462
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan Daniel Buckley Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254843618
PECOS Enrollment IDI20250623002236
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREA L RUSSO M.D.
Radiology (Radiation Oncology)
2014 WASHINGTON ST
NEWTON, MA 02462
Middlesex County (617) 219-1200
MAUREEN LAVELLE LICSW
Social Worker (Clinical)
2014 WASHINGTON ST
NEWTON, MA 02462
Middlesex County (617) 243-6664
SHALYNN DOHERTY
Physician Assistant
2014 WASHINGTON ST
NEWTON, MA 02462
Middlesex County (617) 831-7100
MR. KEVIN YAN KOENDERS PA-C
Physician Assistant (Surgical)
2014 WASHINGTON ST, DEPARTMENT OF ORTHOPEDICS
NEWTON, MA 02462
Middlesex County (617) 219-1674
DR. RONALD KENNETH PYE M.D.
Pediatrics (Neonatal-Perinatal Medicine)
2014 WASHINGTON ST, SCN 6 NORTH
NEWTON, MA 02462
Middlesex County (617) 243-6296
DR. TODD EARL ABBOTT M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2014 WASHINGTON ST, NEWTON-WELLESLEY HOSPITAL
NEWTON, MA 02462
Middlesex County (434) 964-1637
DIANE MARIE POULIN RN,NP
Nurse Practitioner (Adult Health)
2014 WASHINGTON ST, NEWTON WELLESLEY HOSPITAL DEPT. OF ANESTHESIA
NEWTON, MA 02462
Middlesex County (617) 243-6298
CAROLINE STOWELL M.D.
Internal Medicine
2014 WASHINGTON ST, MEDICAL EDUCATION
NEWTON, MA 02462
Middlesex County (617) 243-6467

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Buckley's NPI number?

The NPI number for Nathan Buckley is 1003685850. It was assigned to this individual provider in the NPPES registry on December 21, 2023.

Where is Nathan Buckley located?

Nathan Buckley practices at 2014 Washington St, Newton, MA 02462. The listed phone number is (617) 243-6000.

What is Nathan Buckley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nathan Buckley enrolled in Medicare?

Yes. Nathan Buckley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nathan Buckley was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.