Individual provider Active NPI

Barry Oscar Maisel, MD

  • Otolaryngology Physician
  • Saratoga Springs, NY
National Provider Identifier
1124012844
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
149025 Issued in NY
Practice address
414 Maple Ave
#600
Saratoga Springs, NY 12866-5550
Phone
(518) 583-1553
Fax
(518) 583-2656
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 149025 NY Primary

Addresses

Primary practice location

414 Maple Ave
#600
Saratoga Springs, NY 12866-5550

Mailing address

414 Maple Ave
#600
Saratoga Springs, NY 12866-5550
Phone (518) 583-1553

Other identifiers 1

IdentifierTypeStateIssuer
00976274MedicaidNY

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

LicenseStateTypeSpecialty
149025NYMDOtolaryngology Physician

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1124012844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 MAPLE AVE",
            "address_2": "#600",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665550",
            "telephone_number": "518-583-1553",
            "fax_number": "518-583-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MAPLE AVE",
            "address_2": "#600",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665550",
            "telephone_number": "518-583-1553",
            "fax_number": "518-583-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISEL",
        "first_name": "BARRY",
        "middle_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "149025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00976274",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.