Kelvin A Barry Sr., D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

25MD00365600 Issued in NJ

Practice address

204 Grove Ave Ste G
West Deptford, NJ 08086-2557

Phone

(877) 487-3338

NPI assigned

Oct 10, 2005

Last updated

Dec 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other names 1

• Dr. Kelvin A Barry Sr. Professional name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Foot Care Center, LLCGroup PAC ID 1658535380, 3 clinicians

Foot and Ankle Specialty LLCGroup PAC ID 0446386908, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Foot Care Center, LLC

  • Foot & Ankle Surgery Podiatrist
  • Thorofare, NJ
  • NPI 1699079665

  Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD
• Foot and Ankle Specialty LLC

  • Podiatric Clinic/Center
  • Jersey City, NJ
  • NPI 1124358858
  Medicare reassignment Care Compare group
• Rory Cohen DPM PC

  • Foot Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1578527180

  Primary Podiatric Medicine

  NPD (past)
• Suny Downstate Medical Center

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1699704155
  NPD (past)
• The Foot Specialty Practice, P.C.

  dba Dr. Carl M. Jean, DPM, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1174772446
  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1225026727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 GROVE AVE STE G",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080862557",
            "telephone_number": "877-487-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 GROVE AVE STE G",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080862557",
            "telephone_number": "877-487-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Bypass Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NJ",
            "postal_code": "080792053",
            "country_code": "US",
            "telephone_number": "877-487-3338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "704 E Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573070",
            "country_code": "US",
            "telephone_number": "877-487-3338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRY",
        "first_name": "KELVIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00365600",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NJ",
            "license": "25MD00365600",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00365600",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006134",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006134",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00365600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELVIN",
            "last_name": "BARRY",
            "middle_name": "A",
            "prefix": "DR.",
            "suffix": "SR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amy Aquino, APN
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• Aaron Bess, PT, DPT
• Beyond Behaviors Therapy Services
• Braden Dental of South Jersey PC (Dentistry of South Jersey - West Deptford)
• Valerie Braunstein, PSY.D.
• Allyson Bress, D.P.M.

• Foot Surgery Podiatrist in West Deptford, NJ
• Providers in West Deptford, NJ by specialty
• Foot Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.