Active NPI
Adrian Baranetsky, M.D.
- Diagnostic Radiology Physician
- Brooklyn, NY
National Provider Identifier
1013015288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 162375
- Practice address
- 506 6TH St
Brooklyn, NY 11215-9008 - Phone
- (718) 780-5870
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA04159200 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | 162375 | NY | Primary |
Addresses
Primary practice location
506 6TH St
Brooklyn, NY 11215-9008
Mailing address
303 Forest Dr S
Short Hills, NJ 07078-2310
Phone (973) 376-2212
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1657402 | Medicaid | NJ | |
| 294186 | Other | NJ | AMERIGROUP |
| 01196670 | Medicaid | NY | |
| 4106489 | Other | NJ | GHI |
| 60016051 | Other | NJ | HORIZON NJ HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04159200 | NJ | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1013015288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 FOREST DR S",
"city": "SHORT HILLS",
"state": "NJ",
"postal_code": "070782310",
"telephone_number": "973-376-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 6TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112159008",
"telephone_number": "718-780-5870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARANETSKY",
"first_name": "ADRIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA04159200",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "162375",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1657402",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "294186",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01196670",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "4106489",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "60016051",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.