Individual provider Active NPI

Barry A Jansen, D.P.M.,

  • Foot Surgery Podiatrist
  • Fair Lawn, NJ
National Provider Identifier
1427123348
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
25MD00124900 Issued in NJ
Practice address
15-01 Broadway Ste 11
Fair Lawn, NJ 07410-6018
Phone
(201) 796-2151
Fax
(201) 796-6676
NPI assigned
Nov 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 25MD00124900 NJ Primary

Addresses

Primary practice location

15-01 Broadway Ste 11
Fair Lawn, NJ 07410-6018

Mailing address

15-01 Broadway Ste 11
Fair Lawn, NJ 07410-6018
Phone (201) 796-2151

Other names 1

  • Barry Jansen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091207000059 NJ Practitioner - Podiatry 2264571124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 -01 Broadway
Fair Lawn, NJ 07410-6018
Phone (201) 796-2151

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue118
Removal of skin lesions1-10
Removal of nail tissue1383
Removal or shaving of skin growth551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00124900NJMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Barry Jansen PC Foot Surgery CurrentSince Oct 6, 2009 Accepting new patients

Locations

15-01 Broadway
Ste 11
Fair Lawn, NJ 07410
Phone (201) 796-2151

Interoperability endpoints

  • Direct secure messaging: bjansen@direct.meditouchehr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1427123348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY STE 11",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106018",
            "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 STE 11",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106018",
            "telephone_number": "201-796-2151",
            "fax_number": "201-796-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "BARRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00124900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARRY",
            "last_name": "JANSEN",
            "credential": "P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.