Active NPI
Ian Raphael Barry, DC
- Chiropractor
- Short Hills, NJ
National Provider Identifier
1417412966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00759500
- Practice address
- 532 Old Short Hills Rd
Short Hills, NJ 07078-1437 - Phone
- (973) 467-9011
- NPI assigned
- Feb 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00759500 | NJ | Primary |
Addresses
Primary practice location
532 Old Short Hills Rd
Short Hills, NJ 07078-1437
Mailing address
532 Old Short Hills Rd
Short Hills, NJ 07078-1437
Phone (973) 985-6637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
145 Commons Way
Bridgewater, NJ 08807-2801
Phone (908) 800-5158
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00759500 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Performance and Rehabilitation Center, LLC | Chiropractor | Current | Accepting new patients |
| Life Clinic of NJ DC PA | Chiropractor | Current | Accepting new patients |
Locations
145 Commons Way
Bridgewater, NJ 08807
Phone (908) 800-5158
Organizations & group practices 2
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.
-
- Physical Therapist
- Short Hills, NJ
- NPI 1851455562
Chiropractor
-
- Chiropractor
- Plainsborough, NJ
- NPI 1720575178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1417412966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 OLD SHORT HILLS RD",
"city": "SHORT HILLS",
"state": "NJ",
"postal_code": "070781437",
"telephone_number": "973-985-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 OLD SHORT HILLS RD",
"city": "SHORT HILLS",
"state": "NJ",
"postal_code": "070781437",
"telephone_number": "973-467-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "IAN",
"middle_name": "RAPHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-08",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00759500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Short Hills, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.