Individual provider Active NPI

Ricardo A. Barzaga, M.D.

  • Infectious Disease Physician
  • Atlantic City, NJ
National Provider Identifier
1922044759
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA05236900 Issued in NJ
Practice address
1401 Atlantic Ave
Suite 2600
Atlantic City, NJ 08401-7022
Phone
(609) 441-2104
NPI assigned
Jun 21, 2006
Last updated
Jul 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 25MA05236900 NJ Primary

Addresses

Primary practice location

1401 Atlantic Ave
Suite 2600
Atlantic City, NJ 08401-7022

Mailing address

PO Box 1886
Absecon, NJ 08201-5886

Other identifiers 1

IdentifierTypeStateIssuer
5175101MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20110202000504 NJ Practitioner - Infectious DiseasePractitioner - Internal Medicine 5496935843 Practice locations: Atlantic City, NJ; Manahawkin, NJ

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1140 Route 72 W
Southern Ocean Medical Center
Manahawkin, NJ 08050-2412
Phone (609) 978-8900

Hospital & facility affiliations

National Provider Directory

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

Hospital & facility affiliations 4

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1922044759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1886",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "082015886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ATLANTIC AVE",
            "address_2": "SUITE 2600",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084017022",
            "telephone_number": "609-441-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARZAGA",
        "first_name": "RICARDO",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA05236900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5175101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

Verify at the official NPI Registry.