Individual provider Active NPI

Barry Steven Erner, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Chappaqua, NY
National Provider Identifier
1679649628
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
167104-1 Issued in NY
Practice address
121 King St
Chappaqua, NY 10514-3448
Phone
(914) 238-1205
Fax
(914) 238-1237
NPI assigned
Nov 28, 2006
Last updated
Sep 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 167104-1 NY Primary

Addresses

Primary practice location

121 King St
Chappaqua, NY 10514-3448

Mailing address

121 King St
Chappaqua, NY 10514-3448
Phone (914) 238-1205

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
I20110311000022 NY Practitioner - Osteopathic Manipulative Medicine 0446432470 Reassigns benefits to 1 organization
Practice locations: Armonk, NY

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Business Park Dr
Suite 308
Armonk, NY 10504-1751
Phone (914) 238-1205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
167104-1NYMDNeuromusculoskeletal Medicine & OMM Physician
000228CTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Barry S Erner DO PC CurrentSince May 1, 2017 Accepting new patients

Locations

200 Business Park Dr
Ste 308
Armonk, NY 10504
Phone (347) 781-5067

Interoperability endpoints

  • Direct secure messaging: barry.erner@391.securemail.prognocis.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1679649628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 KING ST",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105143448",
            "telephone_number": "914-238-1205",
            "fax_number": "914-238-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 KING ST",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105143448",
            "telephone_number": "914-238-1205",
            "fax_number": "914-238-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNER",
        "first_name": "BARRY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "167104-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chappaqua, NY

Sources for this page

Verify at the official NPI Registry.