Individual provider Active NPI

Barry Sloan, D.O.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • New York, NY
National Provider Identifier
1770578262
Registry record updated Feb 19, 2009
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jul 20, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
177709-1 Issued in NY
Practice address
139 Fulton St RM 700
New York, NY 10038-2533
Phone
(212) 406-0127
Fax
(212) 608-1325
NPI assigned
Sep 12, 2005
Last updated
Feb 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X MB53521 NJ
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 177709-1 NY Primary

Addresses

Primary practice location

139 Fulton St RM 700
New York, NY 10038-2533

Mailing address

20 E 46TH St RM 1102
New York, NY 10017-9247
Phone (212) 682-5158

Other identifiers 2

IdentifierTypeStateIssuer
BS08979210OtherNYMEDICARE ID NY
BS08979210OtherNYBC/BS ID

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MB53521NJMDSports Medicine (Neuromusculoskeletal Medicine) Physician
177709-1NYMDSports Medicine (Neuromusculoskeletal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Burgess L. Berlin, M.D., P.a. PastSince Apr 3, 2001 Accepting new patients
Metro Health Medical P.C. Past Accepting new patients
Hands-on Advanced Physical Therapy, PLLC Past Accepting new patients

Organizations & group practices 3

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1770578262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E 46TH ST RM 1102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100179247",
            "telephone_number": "212-682-5158",
            "fax_number": "212-682-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FULTON ST RM 700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382533",
            "telephone_number": "212-406-0127",
            "fax_number": "212-608-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NJ",
            "license": "MB53521",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NY",
            "license": "177709-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NY",
            "identifier": "BS08979210",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ID",
            "identifier": "BS08979210",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.