Barry Prystowsky, MD LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA042255 Issued in NJ

Legal business name

BARRY PRYSTOWSKY, MD LLC

Practice address

562 Kingsland St
Nutley, NJ 07110-1069

Phone

(973) 235-0101

NPI assigned

Mar 25, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Barry Prystowsky, M.D.

Title

Owner

Phone

(973) 235-0101

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1003058868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 KINGSLAND ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101069",
            "telephone_number": "973-235-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 KINGSLAND ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101069",
            "telephone_number": "973-235-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY PRYSTOWSKY, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "PRYSTOWSKY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-235-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA042255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry Bachenheimer, NREMT, ED.D
• Dylan Bahaw
• Denise Ballou
• Sharon Balsamo
• Vicente Banez, PT
• Lisa Taub Bash, M.D.
• Cristina Battaglia, BCBA
• Maro R. Bchakjian, D.C.
• BCT Anesthesia.LLC
• BCT Comprehensive Care LLC

• All providers in Nutley, NJ
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.