Rostislav D Barabash, N.P.04/22/1945
Individual provider Active NPI Nurse Practitioner · Long Branch, NJ
NPI 1699700815 · NPPES record last updated Oct 14, 2011
Key facts
- NPI
- 1699700815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 26NJ00073000 (NJ)
- Practice address
- 300 2ND Ave
Long Branch, NJ 07740-6303 - Phone
- (732) 923-6912
- Fax
- (732) 923-6914
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Valeo Behavioral Health, Inc.
Practice addresses (Care Compare)
2911 Route 88
Suite E8
Point Pleasant Boro, NJ 08742-2871
Phone (732) 295-1008
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041203000297 | NJ | Practitioner - Nurse Practitioner | 6800852609 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stress Care of New Jersey, LLC | Current |
Accepting new patients | |
| Valeo Behavioral Health, Inc. | Current |
Accepting new patients | |
| Barnabas Health Medical Group, PC | Current |
Accepting new patients | |
| Stress Care of New Jersey, LLC | Current |
Accepting new patients | |
| Bridges Behavioral Health Care | Past | Accepting new patients | |
| Monmouth Medical Association PC | Past | Accepting new patients | |
| Pinnicle Behavioral Health, LLC | Past |
Accepting new patients |
Locations
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
500 Park Ave
Manalapan, NJ 07726
Phone (732) 679-4500
4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
2911 Route 88
Ste E8
Point Pleasant Boro, NJ 08742
Phone (732) 295-1008
223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838
Interoperability endpoints
- hackensackmeridian.rostislavbarabash@136290.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00073000 | NJ | Yes |
Addresses
Primary practice location
300 2ND Ave
Long Branch, NJ 07740-6303
Mailing address
PO Box 8000
Dept 601
Buffalo, NY 14267-0002
Phone (866) 295-0041
Other providers in Long Branch, NJ
- Axioneuro of NJ LLC
- Maram Ayadi
- Mary Aziz
- Alicia Baker
- Balance and Believe Counseling LLC
- Alexandra Barnovi
- Cynthia A Barone
- Samantha Cathleen Barrett
- Barry P Rubino MD PA
- Isabel Bastos
All providers in Long Branch, NJ · Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.