Active NPI
Tyrone Barnett
- Contractor
- New York, NY
National Provider Identifier
1174291306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 515 Madison Ave FL 9
New York, NY 10022-5460 - Phone
- (845) 205-2756
- Fax
- (845) 367-5503
- NPI assigned
- Sep 2, 2021
- Last updated
- Sep 2, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
515 Madison Ave FL 9
New York, NY 10022-5460
Mailing address
31 South St Ste 3S8
Mount Vernon, NY 10550-1752
Phone (845) 205-2756
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Le Kiong Huang MDPC | Current | Accepting new patients | |
| Advanced Value Care, LLC | Contractor | Current | Accepting new patients |
| Sovereign Phoenix | Contractor | Current | Accepting new patients |
Locations
31 South St
Ste 3S8
Mount Vernon, NY 10550
Phone (845) 205-2756
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Contractor
- Mount Vernon, NY
- NPI 1720678774
-
- Contractor
- Great Neck, NY
- NPI 1871909093
-
- Clinic/Center
- Bronx, NY
- NPI 1265678973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1174291306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 SOUTH ST STE 3S8",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105501752",
"telephone_number": "845-205-2756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 MADISON AVE FL 9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100225460",
"telephone_number": "845-205-2756",
"fax_number": "845-367-5503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNETT",
"first_name": "TYRONE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.