Tracy Barilla, RPAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

011528 Issued in NY

Practice address

17660 Union Tpke
Ste 360
Fresh Meadows, NY 11366-1526

Phone

(718) 460-2300

Fax

(718) 460-9697

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

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

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.

• New York University

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NY

  Medicare reassignment NPD
• Medical Care of Queens, PC

  • Hematology & Oncology Physician
  • Fresh Meadows, NY
  • NPI 1225683840
  Medicare reassignment
• New York University

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD
• Great Neck Hematology&Oncology.P.C.

  • Hematology & Oncology Physician
  • Great Neck, NY
  • NPI 1922285105
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1700975539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17660 UNION TPKE",
            "address_2": "STE 360",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661526",
            "telephone_number": "718-460-2300",
            "fax_number": "718-460-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17660 UNION TPKE",
            "address_2": "STE 360",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661526",
            "telephone_number": "718-460-2300",
            "fax_number": "718-460-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARILLA",
        "first_name": "TRACY",
        "name_prefix": "Mrs.",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "011582",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Ruben Bamshad
• Daniel Barayev, DDS
• Lance Barazani, MD
• Laurenmarie Barbella
• Suzan Barge
• Euraina Annette Barnes, LMHC
• Tania Barnes
• Ghamari Krista Barnett, DSW, MSW, LSW
• Ruth Barral, M.S. ED
• Dion J Barrett

• Physician Assistant in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.