Active NPI
Juan Carlos Barragan, D.P.M.
- Podiatrist
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N004648-1
- Practice address
- 1561 Westchester Ave
Bronx, NY 10472-2912 - Phone
- (718) 328-6200
- Fax
- (718) 328-6733
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N004648-1 | NY | Primary |
Addresses
Primary practice location
1561 Westchester Ave
Bronx, NY 10472-2912
Mailing address
1561 Westchester Ave
Bronx, NY 10472-2912
Phone (718) 328-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01141299 | Medicaid | NY |
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004648 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronx Foot Care PC | Podiatrist | Current | Accepting new patients |
| Perry Ave Family Medical Center Inc | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Podiatrist | Current | Accepting new patients |
| Bronx Medical Practice P.C. | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Podiatrist | Current | Accepting new patients |
Locations
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
1561 Westchester Ave
Bronx, NY 10472
Phone (718) 328-6200
3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
Podiatrist
-
- Family Medicine Physician
- Bronx, NY
- NPI 1619973518
-
- Podiatrist
- Bronx, NY
- NPI 1609429505
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1962401190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1561 WESTCHESTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104722912",
"telephone_number": "718-328-6200",
"fax_number": "718-328-6733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 WESTCHESTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104722912",
"telephone_number": "718-328-6200",
"fax_number": "718-328-6733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRAGAN",
"first_name": "JUAN",
"middle_name": "CARLOS",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N004648-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01141299",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.