Individual provider Active NPI

Juan Carlos Barragan, D.P.M.

  • Podiatrist
  • Bronx, NY
National Provider Identifier
1962401190
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004648-1 Issued in NY
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

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01141299MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100201000027 NY Practitioner - Podiatry 2466595442 Reassigns benefits to 4 organizations
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004648NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Foot Care PC Podiatrist Current Accepting new patients
Perry Ave Family Medical Center Inc CurrentSince Jan 1, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince May 1, 2022 Accepting new patients
Essen Medical Associates, PC Podiatrist CurrentSince May 1, 2022 Accepting new patients
Bronx Medical Practice P.C. CurrentSince May 1, 2022 Accepting new patients
House Call Medical Services of New York, PLLC Podiatrist CurrentSince May 1, 2022 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.

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

Verify at the official NPI Registry.