Individual provider Active NPI

Oryan Baruch, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
National Provider Identifier
1669739447
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
276245 Issued in NY
Practice address
80 Maiden LN
#905A
New York, NY 10038-4811
Phone
(212) 404-8070
NPI assigned
Apr 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 276245 NY Primary

Addresses

Primary practice location

80 Maiden LN
#905A
New York, NY 10038-4811

Mailing address

80 Maiden LN
#905A
New York, NY 10038-4811
Phone (212) 404-8070

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170711000183 NY Practitioner - Pain Management 9830468693 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DK Pain Medicine PCGroup PAC ID 1153545629, 4 clinicians

Practice addresses (Care Compare)

15031 Union Tpke
Flushing, NY 11367-3927
Phone (347) 454-2050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
276245NYMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brain and Spine LLC Current Accepting new patients
Advanced Medical Concepts PC CurrentSince Jun 1, 2017 Accepting new patients
DK Pain Medicine PC CurrentSince Feb 1, 2023 Accepting new patients
Advanced Medical Concepts PC CurrentSince Jun 1, 2017 Accepting new patients
Downtown Physicians Medical PLLC Pain Medicine Current Accepting new patients
Downtown Physicians P.C. Pain Medicine CurrentSince Jun 19, 2019 Accepting new patients
Manhattan Diagnostic Physicians PLLC Current Accepting new patients
Avalon Medical Center, LLC Pain Medicine Past Accepting new patients

Locations

46 W Oak St
Amityville, NY 11701
Phone (718) 670-5631

200 Broadway
Ste 3237
Brooklyn, NY 11211

15031 Union Tpke
Ste 1
Flushing, NY 11367
Phone (718) 878-4656

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

7736 169th St
Ste 1
Fresh Meadows, NY 11366
Phone (718) 878-4656

16110 Jamaica Ave
Ste 301
Jamaica, NY 11432
Phone (212) 404-8080

15031 Union Tpke
Kew Gardens Hills, NY 11367
Phone (347) 454-2050

80 Maiden Ln
Rm 905
New York, NY 10038
Phone (212) 404-8070

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1669739447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MAIDEN LN",
            "address_2": "#905A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384811",
            "telephone_number": "212-404-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MAIDEN LN",
            "address_2": "#905A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384811",
            "telephone_number": "212-404-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARUCH",
        "first_name": "ORYAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "276245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.