VA Hospital Northport

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Legal business name

VA HOSPITAL NORTHPORT

Practice address

79 Middleville Rd
Northport, NY 11768-2200

Phone

(631) 261-6074

NPI assigned

Jun 24, 2007

Last updated

Jun 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey M Barr

Title

Resident

Phone

(585) 703-5240

Specialties & licenses 1

Addresses

Listed as

Northport VA Medical CenterCCN 33019F

Overall star rating

5 of 5

Type

Acute Care - Veterans Administration

Ownership

Veterans Health Administration

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

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

{
    "created_epoch": "1182643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1568668887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 QUAKER PATH",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682200",
            "telephone_number": "631-261-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA HOSPITAL NORTHPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-24",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "585-703-5240",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda A Tripoli, ADULT NURSE PRACTITI
• Maria Victoria Tuccillo, PH.D.
• Marek Tuzinowski, RPH
• Janine Tyrer, PT
• Sean Patrick Umstead, PT
• VA Medical Center
• VA Medical Center Northport
• Nicole Anna Vaccaro, LMSW
• Raymond William Valentine
• Vamc

• Student in an Organized Health Care Education/Training Program in Northport, NY
• Providers in Northport, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.