Active NPI
Barry Sloan, D.O.
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- New York, NY
National Provider Identifier
1770578262
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.
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- 177709-1
- 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, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BS08979210 | Other | NY | MEDICARE ID NY |
| BS08979210 | Other | NY | BC/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.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB53521 | NJ | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
| 177709-1 | NY | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burgess L. Berlin, M.D., P.a. | Past | 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.
-
- Physical Therapist
- Middletown, NY
- NPI 1710296694
-
- Specialist
- South Orange, NJ
- NPI 1053357574
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
- Olivia Rose Slingerland, PA-C
- Anne Louise Sliski, MS PT
- Charles Alfred Slivinski, M.D.
- Julie Slivka
- SLL Nurse Practitioner in Psychiatry PLLC (Wild Orchid NP in Psychiatry Services)
- Erika Susan Sloan, R.N.
- Jacki H Sloan, DPT
- John Sloan, CASAC-T
- Kelly Brittany Sloan, FNP-BC
- Richard Peter Sloan, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.