Ivan Dario Baraque, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

161270 Issued in NY

Practice address

1532 Union St
Schenectady, NY 12309-6002

Phone

(347) 952-0051

Fax

(518) 786-1875

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Cardiology Consultants of Bay Ridge PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1700991668
  NPD (past)
• Cardiovascular Consultant of New York, P.C.

  • Interventional Cardiology Physician
  • New York, NY
  • NPI 1972993913
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1811059967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WOODCREST CT",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941213",
            "telephone_number": "347-952-0051",
            "fax_number": "518-786-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123096002",
            "telephone_number": "347-952-0051",
            "fax_number": "518-786-1875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Broadway",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075141916",
            "country_code": "US",
            "telephone_number": "973-523-4000",
            "fax_number": "973-689-3081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARAQUE",
        "first_name": "IVAN",
        "middle_name": "DARIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08711300",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "161270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Elizabeth Balarin, PA-C
• Stephanie Baldauf, LMHC
• Brianna Baldes, OTR/L
• Seanna Jane Baldwin, FNP
• Susan Elizabeth Banco, RN
• Lavida Barkley, CERTIFIED HAIR LOSS
• Michael Scott Barkley, RPH
• Lacey Marie Barkman, MS, CCC-SLP
• Nancy A Barkowski, M.D.
• Jorge Gumabao Barlin III, MD

• Internal Medicine Physician in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.