Edward John Barnoski, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

011687-1 Issued in NY

Practice address

77 Medford Ave Ste D
Patchogue, NY 11772-1230

Phone

(631) 366-3369

Fax

(631) 366-3369

NPI assigned

Jul 11, 2006

Last updated

Oct 20, 2011By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

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

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.

• Suffolk County Neuropsychological Services, PLLC

  dba Neuropsychological Associates, LLC

  • Cognitive & Behavioral Psychologist
  • Patchogue, NY
  • NPI 1861794919
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1932134087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MEDFORD AVE STE D",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721230",
            "telephone_number": "631-366-3369",
            "fax_number": "631-366-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MEDFORD AVE STE D",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721230",
            "telephone_number": "631-366-3369",
            "fax_number": "631-366-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNOSKI",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "011687-1",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011687-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01503557",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherub Beth Barbaro, RD, CDN
• Ashley Nicole Barbuscia
• Noemi Barczak, LMSW
• Brian Barnett, PA
• Diana Ruth Barnett, ACSW
• Julianna Baron
• Annette Rose Barone, R.N.
• Kathleen Barry, LCSW
• Robert Basedow
• Kanista Menike Basnayake, M.D.

• Clinical Neuropsychologist in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.

Verify at the official NPI Registry.