Organization Active NPI

Barry Sloan, DO PA

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Elmwood Park, NJ
National Provider Identifier
1609255165
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
MB53521 Issued in NJ
Legal business name
BARRY SLOAN, DO PA
Practice address
14 Oak St
Elmwood Park, NJ 07407-2020
Phone
(201) 957-5864
NPI assigned
May 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Dr. Barry Sloan, D.O
Title
Medical Doctor
Phone
(201) 957-5864

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204C00000X MB53521 NJ Primary
Electrodiagnostic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204R00000X MB53521 NJ

Addresses

Primary practice location

14 Oak St
Elmwood Park, NJ 07407-2020

Mailing address

14 Oak St
Elmwood Park, NJ 07407-2020
Phone (201) 957-5864

Other identifiers 1

IdentifierTypeStateIssuer
MB53521OtherNJMEDICAL LICENCE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1609255165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 OAK ST",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072020",
            "telephone_number": "201-957-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 OAK ST",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072020",
            "telephone_number": "201-957-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY SLOAN, DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "201-957-5864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NJ",
            "license": "MB53521",
            "primary": true
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": "NJ",
            "license": "MB53521",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE NUMBER",
            "identifier": "MB53521",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.