Individual provider Active NPI

Maureen Ann Barlaan Carlos

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1760651624
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027565 Issued in NY
Practice address
178 Roosevelt Ave
Staten Island, NY 10314-4151
Phone
(917) 605-8761
NPI assigned
Feb 25, 2008
Last updated
Feb 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 027565 NY Primary

Addresses

Primary practice location

178 Roosevelt Ave
Staten Island, NY 10314-4151

Mailing address

178 Roosevelt Ave
Staten Island, NY 10314-4151
Phone (917) 605-8761

Other names 1

  • Maureen Ann Gesulga Barlaan Former name

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

State licenses

LicenseStateTypeSpecialty
027565NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1760651624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 ROOSEVELT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144151",
            "telephone_number": "917-605-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 ROOSEVELT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144151",
            "telephone_number": "917-605-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOS",
        "first_name": "MAUREEN ANN",
        "middle_name": "BARLAAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN ANN",
            "last_name": "BARLAAN",
            "middle_name": "GESULGA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.