Active NPI
Rafael Gustavo Barcia, MD
- Family Medicine Physician
- Arverne, NY
National Provider Identifier
1528009461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 116204
- Practice address
- 6200 Beach Channel Dr
Arverne, NY 11692-1409 - Phone
- (516) 945-7150
- Fax
- (718) 945-2596
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 116204 | NY | Primary |
Addresses
Primary practice location
6200 Beach Channel Dr
Arverne, NY 11692-1409
Mailing address
6200 Beach Channel Dr
Arverne, NY 11692-1409
Phone (516) 945-7150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00335713 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191030002962 | NY | Practitioner - Internal Medicine | 8123038882 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116204 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prominis Medical Services PC | Current | Accepting new patients | |
| Comprehensive Women'S Health of N.Y. PLLC | Current | Accepting new patients |
Locations
332 DeKalb Ave
Brooklyn, NY 11205
Phone 7185825252101
6829 Myrtle Ave
Glendale, NY 11385
Phone (718) 366-2242
13704 Guy R Brewer Blvd
Ste 1A
Jamaica, NY 11434
Phone (718) 527-3404
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Glendale, NY
- NPI 1982736047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1528009461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 BEACH CHANNEL DR",
"city": "ARVERNE",
"state": "NY",
"postal_code": "116921409",
"telephone_number": "516-945-7150",
"fax_number": "718-945-2596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 BEACH CHANNEL DR",
"city": "ARVERNE",
"state": "NY",
"postal_code": "116921409",
"telephone_number": "516-945-7150",
"fax_number": "718-945-2596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARCIA",
"first_name": "RAFAEL",
"middle_name": "GUSTAVO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "116204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00335713",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arverne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.