Individual provider Active NPI

Igor Barsky

  • Contractor
  • Hollywood, FL
National Provider Identifier
1740689744
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
343900000X Issued in FL
Practice address
1149 S Northlake Dr
Hollywood, FL 33019-1316
Phone
(917) 807-2224
Fax
(917) 789-9000
NPI assigned
Aug 15, 2014
Last updated
Aug 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 343900000X FL Primary

Addresses

Primary practice location

1149 S Northlake Dr
Hollywood, FL 33019-1316

Mailing address

1149 S Northlake Dr
Hollywood, FL 33019-1316
Phone (917) 807-2224

Other identifiers 1

IdentifierTypeStateIssuer
343900000XOtherFLNON-EMERGENCY MEDICAL TRANSPORT (VAN)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
343900000XFLMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Trans, LLC Past Accepting new patients

Organizations & group practices 1

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": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1740689744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 S NORTHLAKE DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330191316",
            "telephone_number": "917-807-2224",
            "fax_number": "917-789-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 S NORTHLAKE DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330191316",
            "telephone_number": "917-807-2224",
            "fax_number": "917-789-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSKY",
        "first_name": "IGOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "343900000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-EMERGENCY MEDICAL TRANSPORT (VAN)",
            "identifier": "343900000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.