Individual provider Active NPI

Alex Barats

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1255532032
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
045181-1 Issued in NY
Practice address
332 9TH Street, 2ND Floor
Brooklyn, NY 11215
Phone
(718) 832-1222
Fax
(781) 832-0796
NPI assigned
May 30, 2007
Last updated
Mar 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 045181-1 NY Primary

Addresses

Primary practice location

332 9TH Street, 2ND Floor
Brooklyn, NY 11215

Mailing address

2626 Homecrest Ave Apt 4T
Brooklyn, NY 11235-4523
Phone (917) 822-6921

Other identifiers 1

IdentifierTypeStateIssuer
01588283MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160315002038 NY Order and Referring Only - DentistPractitioner - Dentist 7810293933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045181-1NYMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: alex.barats.p1@direct.ezramedical.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1255532032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 HOMECREST AVE APT 4T",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354523",
            "telephone_number": "917-822-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 9TH STREET, 2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "718-832-1222",
            "fax_number": "781-832-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARATS",
        "first_name": "ALEX",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045181-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01588283",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.