Individual provider Active NPI

Barry Kwasman, DPM

  • Podiatrist
  • Boynton Beach, FL
National Provider Identifier
1174502405
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P0857 Issued in FL
Practice address
9101 Tremezzo LN
Boynton Beach, FL 33437-2747
Phone
(561) 452-7000
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P0857 FL Primary
Podiatrist 213E00000X N2612 NY

Addresses

Primary practice location

9101 Tremezzo LN
Boynton Beach, FL 33437-2747

Mailing address

9101 Tremezzo LN
Boynton Beach, FL 33437-2747
Phone (561) 452-7000

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

LicenseStateTypeSpecialty
P0857FLMDPodiatrist
N2612NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Barry Kwasman DPM PA Incorporated Podiatrist 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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1174502405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 TREMEZZO LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334372747",
            "telephone_number": "561-452-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 TREMEZZO LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334372747",
            "telephone_number": "561-452-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWASMAN",
        "first_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P0857",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N2612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.