Individual provider Active NPI

Barry D Fass, MD

  • Physical Medicine & Rehabilitation Physician
  • Hamilton, NJ
National Provider Identifier
1740396308
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA06543500 Issued in NJ
Practice address
2103 Whitehorse-Mercerville Rd
Hamilton, NJ 08610
Phone
(609) 890-2222
Fax
(609) 890-0715
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA06543500 NJ Primary

Addresses

Primary practice location

2103 Whitehorse-Mercerville Rd
Hamilton, NJ 08610

Mailing address

2103 Whitehorse-Mercerville Rd
Hamilton, NJ 08610
Phone (609) 890-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06543500NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bonner Sports and Physical Medicine, Inc.. Physical Medicine & Rehabilitation Past Accepting new patients
United Therapy Centers, Inc. Physical Medicine & Rehabilitation Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1740396308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 WHITEHORSE-MERCERVILLE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08610",
            "telephone_number": "609-890-2222",
            "fax_number": "609-890-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 WHITEHORSE-MERCERVILLE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08610",
            "telephone_number": "609-890-2222",
            "fax_number": "609-890-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASS",
        "first_name": "BARRY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA06543500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.