Individual provider Active NPI

Pierre G Barakat, MD

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1205086329
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
250159-01 Issued in NY
Practice address
20 Marble Loop Ste 2a
Staten Island, NY 10309-1353
Phone
(646) 730-7132
Fax
(718) 928-9134
NPI assigned
Sep 25, 2008
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 250159-01 NY Primary

Addresses

Primary practice location

20 Marble Loop Ste 2a
Staten Island, NY 10309-1353

Mailing address

20 Marble Loop Ste 2
Staten Island, NY 10309-1353
Phone (646) 730-7132

Other identifiers 2

IdentifierTypeStateIssuer
A400083773OtherNYMEDICARE PTAN
03055823MedicaidNY

Other names 1

  • Jean-Pierre Georges Barakat Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090513000603 NY Practitioner - Internal Medicine 8022167410 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
250159-01NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Nov 2, 2020 Accepting new patients
JPB Medical PC Internal Medicine CurrentSince Jan 1, 2012 Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Nov 2, 2020 Accepting new patients
Amboy Medical Practice PC Past Accepting new patients
Island Medical Specialists, P.L.L.C. Internal Medicine PastSince Dec 13, 2022 Accepting new patients
Amboy Medical Practice PC Internal Medicine PastSince Sep 1, 2024 Accepting new patients

Locations

300 Community Dr
Manhasset, NY 11030

20 Marble Loop
Ste 2A
Staten Island, NY 10309
Phone (646) 730-7132

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

Interoperability endpoints

  • Direct secure messaging: jbarakat66025@northwell.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1205086329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MARBLE LOOP STE 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091353",
            "telephone_number": "646-730-7132",
            "fax_number": "718-928-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MARBLE LOOP STE 2A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091353",
            "telephone_number": "646-730-7132",
            "fax_number": "718-928-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAKAT",
        "first_name": "PIERRE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-25",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250159-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A400083773",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03055823",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN-PIERRE",
            "last_name": "BARAKAT",
            "middle_name": "GEORGES",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.