Active NPI
Ryan Barr, PA-C
- Physician Assistant
- Secaucus, NJ
National Provider Identifier
1891164745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00393700
- Practice address
- 714 10TH St
Secaucus, NJ 07094-2921 - Phone
- (551) 257-7038
- Fax
- (201) 552-2358
- NPI assigned
- Sep 22, 2015
- Last updated
- Dec 14, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00393700 | NJ | Primary |
Addresses
Primary practice location
714 10TH St
Secaucus, NJ 07094-2921
Mailing address
38 Meadowlands Pkwy
3Rd. Floor
Secaucus, NJ 07094-2925
Phone (551) 257-7038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62488 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Tele-Medicine Services Ny, PLLC | Past | Accepting new patients | |
| Jayapal a Reddy MD and Radha T Reddy MD Inc | Past | Accepting new patients |
Locations
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
Interoperability endpoints
- telemed2u.ryanbarr@160918.advancedmd-direct.com
Organizations & group practices 5
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.
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
dba TeleMed2U
- Emergency Medicine Physician
- Roseville, CA
- NPI 1326338237
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Specialist
- Rancho Cucamonga, CA
- NPI 1881937068
-
- Internal Medicine Physician
- Roseville, CA
- NPI 1609663780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1891164745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 MEADOWLANDS PKWY",
"address_2": "3RD. FLOOR",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070942925",
"telephone_number": "551-257-7038",
"fax_number": "201-552-2358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 10TH ST",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070942921",
"telephone_number": "551-257-7038",
"fax_number": "201-552-2358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARR",
"first_name": "RYAN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-22",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00393700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Secaucus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.