Individual provider Active NPI

Daphna-Raquel Barasch, D.O.

  • Family Medicine Physician
  • Mineola, NY
National Provider Identifier
1902061146
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
248821 Issued in NY
Practice address
137 Willis Ave
Mineola, NY 11501-2677
Phone
(516) 750-8000
Fax
(516) 300-1127
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 248821 NY Primary

Addresses

Primary practice location

137 Willis Ave
Mineola, NY 11501-2677

Mailing address

3 Lavenders CT
Manhasset, NY 11030-3923
Phone (516) 967-4745

Other practice location 1

1991 Marcus Ave
New Hyde Park, NY 11042-2057
Phone (516) 354-1600

Other identifiers 1

IdentifierTypeStateIssuer
03040388MedicaidNY

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
I20080930000097 NY Practitioner - Family Practice 2668549874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Disease Care, PCGroup PAC ID 7113093071, 41 clinicians

Practice addresses (Care Compare)

11014 Jamaica Ave
Richmond Hill, NY 11418-2320
Phone (516) 750-8000

137 Willis Ave
Mineola, NY 11501-2677
Phone (516) 750-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Digestive Disease Care, PC CurrentSince Dec 15, 2019 Accepting new patients

Locations

380 S Broadway
Hicksville, NY 11801
Phone (516) 437-9000

137 Willis Ave
Ste 110
Mineola, NY 11501
Phone (516) 741-8822

137 Willis Ave
Mineola, NY 11501
Phone (516) 741-8822

1991 Marcus Ave
North New Hyde Park, NY 11042
Phone (516) 200-0025

11014 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 335-4747

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: daphna-raquelbarasch@mai.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902061146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAVENDERS CT",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303923",
            "telephone_number": "516-967-4745",
            "fax_number": "516-300-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 WILLIS AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012677",
            "telephone_number": "516-750-8000",
            "fax_number": "516-300-1127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1991 Marcus Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110422057",
            "country_code": "US",
            "telephone_number": "516-354-1600",
            "fax_number": "516-941-4672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARASCH",
        "first_name": "DAPHNA-RAQUEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "248821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03040388",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.