Individual provider Active NPI

Abraham Eddy Barth, MD

  • Anesthesiology Physician
  • Glen Cove, NY
National Provider Identifier
1033217435
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
157224 Issued in NY
Practice address
58 School St
Suite 102
Glen Cove, NY 11542-2547
Phone
(516) 674-0404
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 157224 NY Primary

Addresses

Primary practice location

58 School St
Suite 102
Glen Cove, NY 11542-2547

Mailing address

58 School St
Suite 102
Glen Cove, NY 11542-2547
Phone (516) 674-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070919000661 NY Practitioner - Anesthesiology 9537253760 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Albert Einstein College of Medicine of Yeshiva University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sedation Vacation Perioperative Medicine PLLCGroup PAC ID 1759658594, 86 clinicians

Practice addresses (Care Compare)

1301 Ave J
Brooklyn, NY 11230-3605
Phone (718) 688-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emusc, LLC CurrentSince May 23, 2017 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Jul 6, 2019 Accepting new patients
Emusc, LLC Anesthesiology CurrentSince May 23, 2017 Accepting new patients
Emusc, LLC Current Accepting new patients
R&N Anesthesia PLLC Anesthesiology CurrentSince Jul 6, 2019 Accepting new patients
Glacier Cryo Medical P.C Anesthesiology Past Accepting new patients

Locations

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

1301 Avenue J
Brooklyn, NY 11230
Phone (718) 645-0600

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

944 N Broadway
Yonkers, NY 10701
Phone (914) 965-1234

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1183852800000",
    "number": "1033217435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SCHOOL ST",
            "address_2": "SUITE 102",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422547",
            "telephone_number": "516-674-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 SCHOOL ST",
            "address_2": "SUITE 102",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422547",
            "telephone_number": "516-674-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTH",
        "first_name": "ABRAHAM",
        "middle_name": "EDDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "157224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.