Individual provider Active NPI

Therese M Barry, D.O.

  • Family Medicine Physician
  • Forked River, NJ
National Provider Identifier
1952359960
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB06877400 Issued in NJ
Practice address
833 Lacey Rd
Suite 6
Forked River, NJ 08731-1200
Phone
(609) 242-6700
Fax
(609) 242-6701
NPI assigned
May 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 25MB06877400 NJ Primary

Addresses

Primary practice location

833 Lacey Rd
Suite 6
Forked River, NJ 08731-1200

Mailing address

833 Lacey Rd
Suite 6
Forked River, NJ 08731-1200
Phone (609) 242-6700

Other identifiers 2

IdentifierTypeStateIssuer
7989504MedicaidNJ
D07611OtherNJCDS

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
I20040621000359 NJ Practitioner - Family Practice 0143205682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

833 Lacey Rd
Suite 6
Forked River, NJ 08731-1200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lacey Family Medicine, L.L.C. Family Medicine CurrentSince Jul 1, 2001 Accepting new patients

Locations

833 Lacey Rd
Ste 6
Forked River, NJ 08731
Phone (201) 614-5900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBCHBA/Endpoint/DBCHBA

Organizations & group practices 1

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 6

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952359960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 LACEY RD",
            "address_2": "SUITE 6",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311200",
            "telephone_number": "609-242-6700",
            "fax_number": "609-242-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 LACEY RD",
            "address_2": "SUITE 6",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311200",
            "telephone_number": "609-242-6700",
            "fax_number": "609-242-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "THERESE",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB06877400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7989504",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "D07611",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

Verify at the official NPI Registry.