NPIMap

Organization Active NPI

Baraban & Baraban

  • Podiatrist
  • Selden, NY
National Provider Identifier
1063581379
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
BARABAN & BARABAN
Practice address
1305 Middle Country Rd
Ste 1
Selden, NY 11784-2554
Phone
(631) 398-2267
Fax
(631) 698-2232
NPI assigned
Nov 8, 2006
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Brian D BarabanNPI 1275602583
Title
Partner
Phone
(631) 698-2267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

1305 Middle Country Rd
Ste 1
Selden, NY 11784-2554

Mailing address

1305 Middle Country Rd
Ste 1
Selden, NY 11784-2554
Phone (631) 398-2267

Other identifiers 1

IdentifierTypeStateIssuer
02758372MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1063581379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 MIDDLE COUNTRY RD",
            "address_2": "STE 1",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842554",
            "telephone_number": "631-398-2267",
            "fax_number": "631-698-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 MIDDLE COUNTRY RD",
            "address_2": "STE 1",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842554",
            "telephone_number": "631-398-2267",
            "fax_number": "631-698-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARABAN & BARABAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "BARABAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-698-2267"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02758372",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.