Active NPI
Madeline Barrientos
- Specialist
- Bogota, NJ
National Provider Identifier
1659034015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 900B
- Practice address
- 375 Larch Ave
Bogota, NJ 07603-1067 - Phone
- (201) 488-7185
- NPI assigned
- Oct 21, 2021
- Last updated
- Oct 21, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 900B | NY | Primary |
Addresses
Primary practice location
375 Larch Ave
Bogota, NJ 07603-1067
Mailing address
1000 W Fort Lee Rd Apt 1201
Bogota, NJ 07603-1542
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 900B | NY | MD | Early Intervention Provider Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1659034015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W FORT LEE RD APT 1201",
"city": "BOGOTA",
"state": "NJ",
"postal_code": "076031542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 LARCH AVE",
"city": "BOGOTA",
"state": "NJ",
"postal_code": "076031067",
"telephone_number": "201-488-7185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRIENTOS",
"first_name": "MADELINE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-21",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "900B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bogota, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.