Barry Hertzl Habib, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

050400 Issued in NY

Practice address

200 E Eckerson Rd Ste 260
New City, NY 10956-7154

Phone

(845) 501-4677

Fax

(845) 501-4683

NPI assigned

Feb 5, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1275772899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E ECKERSON RD STE 260",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109567154",
            "telephone_number": "845-501-4677",
            "fax_number": "845-501-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E ECKERSON RD STE 260",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109567154",
            "telephone_number": "845-501-4677",
            "fax_number": "845-501-4683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "178 Brighton 11th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112355327",
            "country_code": "US",
            "telephone_number": "718-304-9955",
            "fax_number": "718-304-9953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Commack Rd Ste M4",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117253412",
            "country_code": "US",
            "telephone_number": "631-779-6633",
            "fax_number": "631-779-6635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABIB",
        "first_name": "BARRY",
        "middle_name": "HERTZL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-05",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "050400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjay Kumar Gupta, M.D.
• Chitra Gupte, RPH
• Carol Ann Gutierrez Walsh, OTR/L
• Ella-Cecilia Reyes Guy, NP
• Evelyn S. Ha, MD
• Alexa Hahn, M.A. CCC-SLP
• Allison Hahn, LMHC
• Grace Hahn, PA-C
• Heather Hall
• Patricia Halo, F.N.P.

• Prosthodontics in New City, NY
• Providers in New City, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.