Individual provider Active NPI

Tracy L Barry, D.O.

  • Emergency Medicine Physician
  • Yonkers, NY
National Provider Identifier
1932134632
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
217281 Issued in NY
Practice address
St Joseph Hospital
127 S Broadway
Yonkers, NY 10701
Phone
(914) 378-7474
NPI assigned
Jul 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 217281 NY Primary

Addresses

Primary practice location

St Joseph Hospital
127 S Broadway
Yonkers, NY 10701

Mailing address

2080 1St Ave
Apt 2808
New York, NY 10029-4326
Phone (646) 672-0789

Other identifiers 1

IdentifierTypeStateIssuer
02068904MedicaidNY

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
I20050712000321 NY Practitioner - Internal MedicinePractitioner - Emergency Medicine 7618903642 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of New York PLLCGroup PAC ID 5597767129, 36 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

2475 Saint Raymonds Ave
Bronx, NY 10461-3124
Phone (718) 920-4321

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217281NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Nov 1, 2014 Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Jul 11, 2011 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Nov 1, 2014 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
KBJ Emergency Medicine FPP Emergency Medicine Past Accepting new patients
Chemung Medical Services PC Emergency Medicine Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients
Bedford Stuy Emergency Physicians Emergency Medicine Past Accepting new patients
Maimonides Medical Center - MMC Emergency Physicians FPP Emergency Medicine Past Accepting new patients

Locations

2475 Saint Raymonds Ave
Bronx, NY 10461
Phone (718) 430-7300

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

Networks

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

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932134632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 1ST AVE",
            "address_2": "APT 2808",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294326",
            "telephone_number": "646-672-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST JOSEPH HOSPITAL",
            "address_2": "127 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-378-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "217281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02068904",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.