Individual provider Active NPI

Jay Mark Barnett, M.D.

  • Dermatology Physician
  • Rockville, MD
National Provider Identifier
1396724779
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D43966 Issued in MD
Practice address
2401 Research Blvd
Suite 260
Rockville, MD 20850-3215
Phone
(301) 990-6565
NPI assigned
Jan 12, 2006
Last updated
Nov 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME124714 FL
Dermatology Physician 207N00000X D43966 MD Primary

Addresses

Primary practice location

2401 Research Blvd
Suite 260
Rockville, MD 20850-3215

Mailing address

151 Southhall LN Ste 300
Maitland, FL 32751-7172
Phone (407) 875-2080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20041215000712 MD Practitioner - Dermatology 0648237255 Reassigns benefits to 1 organization
I20100106000035 DC Practitioner - Dermatology 0648237255 Reassigns benefits to 1 organization
I20190107002226 FL Practitioner - Dermatology 0648237255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Boston University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2401 Research Blvd
Suite 260
Rockville, MD 20850-3261
Phone (301) 990-6565

7310 College Pkwy
Fort Myers, FL 33907-5503
Phone (239) 768-6100

7505 Osler Dr
Suite 308
Towson, MD 21204-7738
Phone (410) 472-0901

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision70
Removal of skin lesions2865
Removal of nail tissue1-10
Removal or shaving of skin growth31
Skin biopsy602

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME124714FLMDDermatology Physician
D43966MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Maryland PC Dermatology CurrentSince Sep 24, 2016 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Jan 1, 2019 Accepting new patients
Advanced Dermatology of Maryland PC Dermatology CurrentSince Sep 24, 2016 Accepting new patients
Advanced Dermatology of Maryland PC Dermatology CurrentSince Sep 24, 2016 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Jan 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474

4037 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 308-0688

7310 College Pkwy
Fort Myers, FL 33907
Phone (239) 561-3763

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

329 E Olympia Ave
Punta Gorda, FL 33950
Phone (239) 561-3376

1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812

200 Harry S Truman Pkwy
Ste 400
Annapolis, MD 21401
Phone (410) 897-0272

200 Harry S Truman Pkwy
Annapolis, MD 21401
Phone (410) 224-8220

18109 Prince Philip Dr
Ste 370
Olney, MD 20832
Phone 3017740613 ext. 30177

2401 Research Blvd
Ste 260
Rockville, MD 20850
Phone (301) 990-6565

7505 Osler Dr
Ste 308
Towson, MD 21204
Phone (410) 296-1464

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 7

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 1

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1396724779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "407-875-2080",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RESEARCH BLVD",
            "address_2": "SUITE 260",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503215",
            "telephone_number": "301-990-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "JAY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME124714",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D43966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.