Organization Active NPI

Barry Kent MD PC

  • Otolaryngology Physician
  • Bronx, NY
National Provider Identifier
1548505522
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
101638 Issued in NY
Legal business name
BARRY KENT MD PC
Practice address
3333 Henry Hudson Pkwy
Suite # 11
Bronx, NY 10463-3224
Phone
(718) 884-7111
Fax
(718) 884-7119
NPI assigned
Dec 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Dr. Barry Richard Kent, M.D.NPI 1336295112
Title
President
Phone
(718) 884-7111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 101638 NY Primary

Addresses

Primary practice location

3333 Henry Hudson Pkwy
Suite # 11
Bronx, NY 10463-3224

Mailing address

3333 Henry Hudson Pkwy
Suite # 11
Bronx, NY 10463-3224
Phone (718) 884-7111

Other identifiers 1

IdentifierTypeStateIssuer
00174974MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130130000298 NY Part B Supplier - Clinic/Group Practice 1052565959 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

5920 Huxley Ave
Bronx, NY 10471
Phone (718) 884-7111

3333 Henry Hudson Pkwy
Ste 11
Bronx, NY 10463
Phone (718) 884-7111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1548505522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 HENRY HUDSON PKWY",
            "address_2": "SUITE # 11",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633224",
            "telephone_number": "718-884-7111",
            "fax_number": "718-884-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 HENRY HUDSON PKWY",
            "address_2": "SUITE # 11",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633224",
            "telephone_number": "718-884-7111",
            "fax_number": "718-884-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY KENT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-884-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "101638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00174974",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.

Verify at the official NPI Registry.