Active NPI
JPB Medical PC
- Internal Medicine Physician
- West Babylon, NY
National Provider Identifier
1447596945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- JPB MEDICAL PC
- Practice address
- 1026 Little East Neck Rd
West Babylon, NY 11704-2411 - Phone
- (626) 399-1079
- NPI assigned
- Jan 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jean-Pierre G Barakat, M.D.
- Title
- President
- Phone
- (626) 399-1079
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Neurology Physician | 2084N0400X |
Addresses
Primary practice location
1026 Little East Neck Rd
West Babylon, NY 11704-2411
Mailing address
75 Luke CT
Staten Island, NY 10306-1194
Phone (626) 399-1079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03055823 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1205086329
-
- Allergy & Immunology Physician
- Staten Island, NY
- NPI 1932193513
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1720050040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679875200000",
"number": "1447596945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 LUKE CT",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103061194",
"telephone_number": "626-399-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 LITTLE EAST NECK RD",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117042411",
"telephone_number": "626-399-1079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JPB MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-02",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A",
"authorized_official_last_name": "BARAKAT",
"authorized_official_first_name": "JEAN-PIERRE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-399-1079",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03055823",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.