Active NPI
Nadar A Barsoum, PHARMACIST
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1417288515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044005
- Practice address
- 2001 Bath Ave
Brooklyn, NY 11214-4813 - Phone
- (718) 266-2266
- Fax
- (718) 266-2289
- NPI assigned
- Jan 29, 2010
- Last updated
- Oct 30, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 044005 | NY | Primary |
Addresses
Primary practice location
2001 Bath Ave
Brooklyn, NY 11214-4813
Mailing address
1107 Cedar Village Blvd
East Brunswick, NJ 08816-1381
Phone (732) 354-8202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044005 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wise Choice Corp | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509321600000",
"number": "1417288515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 CEDAR VILLAGE BLVD",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088161381",
"telephone_number": "732-354-8202",
"fax_number": "718-266-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 BATH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144813",
"telephone_number": "718-266-2266",
"fax_number": "718-266-2289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARSOUM",
"first_name": "NADAR",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-29",
"last_updated": "2017-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "044005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.