Individual provider Active NPI

Barry Rabin, M.D.

  • Ophthalmology Physician
  • North Syracuse, NY
National Provider Identifier
1306892104
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
150576 Issued in NY
Practice address
792 North Main Street
Suite 200B
North Syracuse, NY 13212-1673
Phone
(315) 634-1190
Fax
(315) 634-1194
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 150576 NY Primary

Addresses

Primary practice location

792 North Main Street
Suite 200B
North Syracuse, NY 13212-1673

Mailing address

PO Box 28
Syracuse, NY 13214-0028
Phone (315) 634-1190

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330001236 NY Practitioner - Ophthalmology 6800788100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgeons of Central New York, P.C.Group PAC ID 7416135504, 4 clinicians

Practice addresses (Care Compare)

5100 W Taft Rd
Suite 4M
Liverpool, NY 13088-3810
Phone (315) 362-3937

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150576NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgeons of Central New York, PC Ophthalmology CurrentSince Feb 1, 2021 Accepting new patients
Eyecare Ophthalmology PLLC Current Accepting new patients
Genesee Valley Group Health Association Past Accepting new patients

Locations

5100 W Taft Rd
Ste 4M
Liverpool, NY 13088
Phone (315) 362-3937

792 N Main St
Ste 200B
North Syracuse, NY 13212
Phone (315) 634-1190

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1306892104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132140028",
            "telephone_number": "315-634-1190",
            "fax_number": "315-634-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 NORTH MAIN STREET",
            "address_2": "SUITE 200B",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121673",
            "telephone_number": "315-634-1190",
            "fax_number": "315-634-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABIN",
        "first_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "150576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

Verify at the official NPI Registry.