Individual provider Active NPI

Jaclin M Labarbera, MD

  • Pediatrics Physician
  • Riverhead, NY
National Provider Identifier
1487811162
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
188767 Issued in OR
Practice address
889 E Main St Ste 308
Riverhead, NY 11901-2681
Phone
(631) 386-3500
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 247450 NY
Pediatric Critical Care Medicine Physician 2080P0203X 247450 NY
Pediatrics Physician 208000000X 188767 OR Primary

Addresses

Primary practice location

889 E Main St Ste 308
Riverhead, NY 11901-2681

Mailing address

1935 E 19TH St
The Dalles, OR 97058-3392
Phone (541) 506-6520

Other practice location 1

1935 E 19th St
The Dalles, OR 97058-3392
Phone (541) 506-6520

Other names 1

  • Jaclin M Springer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlabarbera475226@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913002427 CA Practitioner - Pediatric Medicine 8224286240 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
188767ORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Aug 29, 2016 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Pediatrics CurrentSince Aug 29, 2016 Accepting new patients
Latouche Pediatrics Pediatrics Past Accepting new patients

Locations

5525 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 644-6600

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

Interoperability endpoints

  • Direct secure messaging: jaclinlabarbera@latouchepe.allscriptsdirect.net
  • Direct secure messaging: jaclin.labarberamd.p1@direct.schc.nextgenshare.com

Organizations & group practices 3

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1487811162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 E 19TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583392",
            "telephone_number": "541-506-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 E MAIN ST STE 308",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012681",
            "telephone_number": "631-386-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1935 E 19th St",
            "address_purpose": "LOCATION",
            "city": "The Dalles",
            "state": "OR",
            "postal_code": "970583392",
            "country_code": "US",
            "telephone_number": "541-506-6520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABARBERA",
        "first_name": "JACLIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "247450",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NY",
            "license": "247450",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "188767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlabarbera475226@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "889 E Main St Ste 308",
            "city": "Riverhead",
            "state": "NY",
            "country_code": "US",
            "postal_code": "119012681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACLIN",
            "last_name": "SPRINGER",
            "middle_name": "M",
            "credential": "MD, MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.