Active NPI
Ny Memory and Behavioral Care LLC
- Geriatric Psychiatry Physician
- Staten Island, NY
National Provider Identifier
1336912005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- Legal business name
- NY MEMORY AND BEHAVIORAL CARE LLC
- Practice address
- 260 Christopher LN Ste 102a
Staten Island, NY 10314-1631 - Phone
- (973) 295-6335
- Fax
- (862) 204-3456
- NPI assigned
- Nov 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew E Barnas
- Title
- Medical Director
- Phone
- (973) 295-6335
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | Primary |
Addresses
Primary practice location
260 Christopher LN Ste 102a
Staten Island, NY 10314-1631
Mailing address
575 Route 28 Ste 2108
Raritan, NJ 08869-1354
Phone (973) 295-6335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Cedar Knolls, NJ
- NPI 1316310568
NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752192000000",
"number": "1336912005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 ROUTE 28 STE 2108",
"city": "RARITAN",
"state": "NJ",
"postal_code": "088691354",
"telephone_number": "973-295-6335",
"fax_number": "862-204-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 CHRISTOPHER LN STE 102A",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103141631",
"telephone_number": "973-295-6335",
"fax_number": "862-204-3456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NY MEMORY AND BEHAVIORAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-03",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A",
"authorized_official_last_name": "BARNAS",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "973-295-6335",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.