Individual provider Active NPI

Barry E Losasso, M.D.

  • Pediatric Surgery Physician
  • Paramus, NJ
National Provider Identifier
1801871306
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
25MA9779600 Issued in NJ
Practice address
30 W Century Rd Ste 235
Paramus, NJ 07652-1421
Phone
(201) 225-9440
Fax
(848) 235-7174
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G41471 CA
Pediatric Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0120X 25MA9779600 NJ Primary

Addresses

Primary practice location

30 W Century Rd Ste 235
Paramus, NJ 07652-1421

Mailing address

30 W Century Rd Ste 235
Paramus, NJ 07652-1421
Phone (201) 225-9440

Other identifiers 3

IdentifierTypeStateIssuer
222615577OtherNJPROVIDER TAX ID
33-0642904OtherCAPROVIDER TAX ID
00G414710MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161229000055 NY Practitioner - General Surgery 6103079009 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G41471CAMDSpecialist
25MA9779600NJMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harlem Medical Associates PC Single Specialty CurrentSince Nov 23, 2016 Accepting new patients
Metropolitan Medical Practice Plan PC Single Specialty CurrentSince Jan 10, 2018 Accepting new patients
Pediatric Surgical Associates,P.a. Specialist PastSince Oct 1, 2023 Accepting new patients

Locations

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Interoperability endpoints

  • Direct secure messaging: blosasso678724@nychhc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1801871306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W CENTURY RD STE 235",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521421",
            "telephone_number": "201-225-9440",
            "fax_number": "848-235-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W CENTURY RD STE 235",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521421",
            "telephone_number": "201-225-9440",
            "fax_number": "848-235-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSASSO",
        "first_name": "BARRY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G41471",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NJ",
            "license": "25MA9779600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TAX ID",
            "identifier": "222615577",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TAX ID",
            "identifier": "33-0642904",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G414710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.