Active NPI
Barry E Losasso, M.D.
- Pediatric Surgery Physician
- Paramus, NJ
National Provider Identifier
1801871306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 25MA9779600
- 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
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 |
|---|---|---|---|---|
| Specialist | 174400000X | G41471 | CA | |
| Pediatric Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222615577 | Other | NJ | PROVIDER TAX ID |
| 33-0642904 | Other | CA | PROVIDER TAX ID |
| 00G414710 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G41471 | CA | MD | Specialist |
| 25MA9779600 | NJ | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harlem Medical Associates PC | Single Specialty | Current | Accepting new patients |
| Metropolitan Medical Practice Plan PC | Single Specialty | Current | Accepting new patients |
| Pediatric Surgical Associates,P.a. | Specialist | Past | 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
- 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.
-
- General Practice Physician
- New York, NY
- NPI 1487957692
Single Specialty
-
- General Practice Physician
- New York, NY
- NPI 1306138383
Single Specialty
-
- Specialist
- Paramus, NJ
- NPI 1386934610
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.