Individual provider Active NPI

Juan-Carlos Barrera-Martinez, MD

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1720057953
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ND051933L Issued in PA
Practice address
1 Brookdale Plaza
Snapper Building, 4TH Floor, Room 475
Brooklyn, NY 11212
Phone
(718) 240-5622
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ND051933L PA Primary

Addresses

Primary practice location

1 Brookdale Plaza
Snapper Building, 4TH Floor, Room 475
Brooklyn, NY 11212

Mailing address

1 Brookdale Plaza
Snapper BLDG,, 4TH Floor, Room 475
Brooklyn, NY 11212
Phone (718) 240-5622

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
I20201222001937 NY Practitioner - Neurology 1052590874 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ND051933LPAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsbrook Medical Associates PC CurrentSince Jun 3, 2023 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Jun 3, 2023 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Sep 1, 2020 Accepting new patients
Kingsbrook Medical Associates, PC CurrentSince Jun 3, 2023 Accepting new patients
Northeastern Rehabilitation Associates, PC CurrentSince Oct 25, 2021 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Sep 1, 2020 Accepting new patients
Professional Neurological Associates PC Past Accepting new patients

Locations

1 Brookdale Plz
Bldg 4TH
Brooklyn, NY 11212
Phone (718) 240-5622

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

802 Jefferson Ave
Ste 301
Scranton, PA 18510
Phone (570) 348-1118

802 Jefferson Ave
Fl 3
Scranton, PA 18510

Networks

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

Interoperability endpoints

  • Direct secure messaging: juan-carlos.barrera-martinez.1@13555.direct.athenahealth.com

Organizations & group practices 7

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1720057953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLAZA",
            "address_2": "SNAPPER BLDG,, 4TH FLOOR, ROOM 475",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-240-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLAZA",
            "address_2": "SNAPPER BUILDING, 4TH FLOOR, ROOM 475",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-240-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERA-MARTINEZ",
        "first_name": "JUAN-CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "ND051933L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.