Individual provider Active NPI

Addison Barman, M.D.

  • Vascular Surgery Physician
  • Port Washington, NY
National Provider Identifier
1215226220
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
085396 Issued in NY
Practice address
20 Central Dr
Port Washington, NY 11050-2720
Phone
(516) 767-0968
Fax
(516) 767-0968
NPI assigned
Mar 30, 2011
Last updated
Mar 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 085396 NY Primary

Addresses

Primary practice location

20 Central Dr
Port Washington, NY 11050-2720

Mailing address

20 Central Dr
Port Washington, NY 11050-2720
Phone (516) 767-0968

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
085396NYMDVascular Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1215226220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CENTRAL DR",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502720",
            "telephone_number": "516-767-0968",
            "fax_number": "516-767-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CENTRAL DR",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502720",
            "telephone_number": "516-767-0968",
            "fax_number": "516-767-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARMAN",
        "first_name": "ADDISON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "085396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.