Individual provider Active NPI

Barry Fitzherbert Slater, PYHSICIAN ASSISTANT

  • Physician Assistant
  • Trenton, NJ
National Provider Identifier
1699742304
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00375500 Issued in NJ
Practice address
2217 W Arnold Ave
Trenton, NJ 08641-5218
Phone
(609) 754-9624
NPI assigned
Mar 1, 2006
Last updated
Oct 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 05641 NY
Physician Assistant 363A00000X 25MP00375500 NJ Primary

Addresses

Primary practice location

2217 W Arnold Ave
Trenton, NJ 08641-5218

Mailing address

36 Paerdegat 5TH St
Brooklyn, NY 11236-4138
Phone (718) 763-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161208002424 NJ Practitioner - Physician Assistant 5193005197 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2542 Brunswick Pike
Lawrenceville, NJ 08648-4103
Phone (609) 493-5440

595 Division St
Elizabeth, NJ 07201-2038
Phone (908) 289-5646

800 Haddonfield Rd
Cherry Hill, NJ 08002-2604
Phone (856) 663-7690

Merit-based Incentive Payment System (MIPS)

Final score
87.07 of 100Reported as group
Quality
76.5
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
005671NYMDPhysical Therapy Assistant
25MP00375500NJMDPhysician Assistant
05641NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Resource and Referral Center, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Aug 1, 2025 Accepting new patients
The Brookdale Hospital Medical Center Past Accepting new patients
Brookdale Hospital Medical Center Past Accepting new patients

Locations

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

Organizations & group practices 10

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1699742304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PAERDEGAT 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364138",
            "telephone_number": "718-763-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 W ARNOLD AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086415218",
            "telephone_number": "609-754-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "BARRY",
        "middle_name": "FITZHERBERT",
        "name_prefix": "Mr.",
        "credential": "PYHSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "05641",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00375500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.