Active NPI
Barbara Whitney, PA-C
- Physician Assistant
- Lindenhurst, NY
National Provider Identifier
1043405103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002085
- Practice address
- 672 N Wellwood Ave
Lindenhurst, NY 11757-1677 - Phone
- (631) 957-2200
- Fax
- (631) 957-4619
- NPI assigned
- Sep 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002085 | NY | Primary |
Addresses
Primary practice location
672 N Wellwood Ave
Lindenhurst, NY 11757-1677
Mailing address
37 Deer Park Blvd
Deer Park, NY 11729-1126
Phone (631) 254-6206
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002085 | NY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Urgent Medical PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Lindenhurst, NY
- NPI 1700313574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1043405103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 DEER PARK BLVD",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117291126",
"telephone_number": "631-254-6206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "672 N WELLWOOD AVE",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117571677",
"telephone_number": "631-957-2200",
"fax_number": "631-957-4619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITNEY",
"first_name": "BARBARA",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-12",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "002085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lindenhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.