Active NPI
Barbara Medlin, NP
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
National Provider Identifier
1508917873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F400882
- Practice address
- 80 E 11TH St
Suite #610
New York, NY 10003-6811 - Phone
- (201) 650-4224
- Fax
- (973) 684-0324
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F400882 | NY | Primary |
Addresses
Primary practice location
80 E 11TH St
Suite #610
New York, NY 10003-6811
Mailing address
48 Whitaker Ave
West Paterson, NJ 07424-3027
Phone (201) 650-4224
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F400882 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508917873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 WHITAKER AVE",
"city": "WEST PATERSON",
"state": "NJ",
"postal_code": "074243027",
"telephone_number": "201-650-4224",
"fax_number": "973-684-0324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 E 11TH ST",
"address_2": "SUITE #610",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100036811",
"telephone_number": "201-650-4224",
"fax_number": "973-684-0324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDLIN",
"first_name": "BARBARA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F400882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
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.