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Individual provider Active NPI

Barrington Dequessie Burt-Miller, D.O.

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1255666194
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
223144 Issued in NY
Practice address
199 Water St
27 Floor
New York, NY 10038-3526
Phone
(212) 897-6000
Fax
(212) 897-6030
NPI assigned
Oct 9, 2009
Last updated
Dec 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 223144 NY Primary

Addresses

Primary practice location

199 Water St
27 Floor
New York, NY 10038-3526

Mailing address

979 Cross Bronx Expy
Bronx, NY 10460-4885
Phone (718) 665-7565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130822000000 NY Practitioner - Family Practice 9436392412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2324 Forest Ave
Staten Island, NY 10303-1506
Phone 71866575653018

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223144NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Associations of New York State, Inc. Current Accepting new patients
Metro Community Health Centers, Inc. CurrentSince Nov 20, 2018 Accepting new patients
Metro Community Health Centers, Inc. CurrentSince Nov 20, 2018 Accepting new patients
Metro Community Health Centers, Inc. Current Accepting new patients
Metro Community Health Centers, Inc. Past Accepting new patients
Mercy Home for Children, Inc. Past Accepting new patients

Locations

979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009

177 Livingston St
Lowr
Brooklyn, NY 11201
Phone (718) 855-7707

330 W 34th St
Fl 15
New York, NY 10001
Phone 2129475770325

2324 Forest Ave
Staten Island, NY 10303
Phone (718) 447-0200

5140 59th St
Woodside, NY 11377
Phone (718) 639-2931

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1255666194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 CROSS BRONX EXPY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604885",
            "telephone_number": "718-665-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 WATER ST",
            "address_2": "27 FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100383526",
            "telephone_number": "212-897-6000",
            "fax_number": "212-897-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT-MILLER",
        "first_name": "BARRINGTON",
        "middle_name": "DEQUESSIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-09",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "223144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.