Barry Jansen PC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

25MD00124900 Issued in NJ

Legal business name

BARRY JANSEN PC

Doing business as

Barry Jansen DPM

Practice address

15-01 Broadway
Suite 11
Fair Lawn, NJ 07410-6003

Phone

(201) 796-2151

Fax

(201) 796-6676

NPI assigned

Nov 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Barry Jansen, DPMNPI 1427123348

Title

President

Phone

(201) 796-2151

Specialties & licenses 1

Addresses

Other names 1

• BARRY JANSEN DPM Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barry A Jansen, D.P.M.,

  • Foot Surgery Podiatrist
  • Fair Lawn, NJ
  • NPI 1427123348
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1407184914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY",
            "address_2": "SUITE 11",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106003",
            "telephone_number": "201-796-2151",
            "fax_number": "201-796-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY",
            "address_2": "SUITE 11",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106003",
            "telephone_number": "201-796-2151",
            "fax_number": "201-796-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY JANSEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "JANSEN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-796-2151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00124900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BARRY JANSEN DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jody Z. Bardash, D.M.D.
• James T Barnett, LAC
• Barr Medical Limited Liability Company
• Jerome Barr, M.D.
• Laurie Barragan, BCBA
• Irina Bass, MD
• Basel N Batarseh, MD
• Christopher D Batchelor Jr., MD
• Roslyn M Batiancila, PT, DPT
• Maryanne Baudo, NP-C, MSN, RN

• Foot Surgery Podiatrist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Foot Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.

Verify at the official NPI Registry.