Anatoliy Barak, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

050313 Issued in NY

Practice address

66-26 Metropolitan Ave.
Middle Village, NY 11379

Phone

(718) 821-6464

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1679623755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 NEPTUNE AVE",
            "address_2": "APT. 5B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244065",
            "telephone_number": "718-872-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66-26 METROPOLITAN AVE.",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "11379",
            "telephone_number": "718-821-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAK",
        "first_name": "ANATOLIY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Louise Avellino
• Ihab Rafik Awad, M.D.
• Hernan Ayala, COTA
• Jennifer Lucy Bachmann, COTA
• Jo Nonino Sarceno Banez, RPT
• Emily Ann Barber
• Nelli Bardanova
• Erin Baumann
• Behavioral Services, Inc
• Courtney Michele Beirne, B.A.

• Dentist in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.