Individual provider Active NPI

Jerald Barsky, DPM

  • Podiatrist
  • Langhorne, PA
National Provider Identifier
1457451528
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001373L Issued in PA
Practice address
80 Chasemoore Drive
Langhorne, PA 19053-2400
Phone
(215) 455-7799
Fax
(215) 322-4144
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC001373L PA Primary

Addresses

Primary practice location

80 Chasemoore Drive
Langhorne, PA 19053-2400

Mailing address

80 Chasemoore Drive
Langhorne, PA 19053-2400
Phone (215) 455-7799

Other identifiers 1

IdentifierTypeStateIssuer
0060534000OtherPAKEYSTONE PERSONAL LICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC001373LPAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457451528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CHASEMOORE DRIVE",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190532400",
            "telephone_number": "215-455-7799",
            "fax_number": "215-322-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CHASEMOORE DRIVE",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190532400",
            "telephone_number": "215-455-7799",
            "fax_number": "215-322-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSKY",
        "first_name": "JERALD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001373L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE PERSONAL LICENSE",
            "identifier": "0060534000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.