Individual provider Active NPI

Julia Elisa Barillas Cerritos, MD

  • Pediatric Endocrinology Physician
  • Mineola, NY
National Provider Identifier
1962798363
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
272839 Issued in NY
Practice address
101 Mineola Blvd FL 2
Mineola, NY 11501-4089
Phone
(516) 663-3511
Fax
(516) 663-3070
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 003737 NY
Pediatric Endocrinology Physician 2080P0205X 272839 NY Primary

Addresses

Primary practice location

101 Mineola Blvd FL 2
Mineola, NY 11501-4089

Mailing address

101 Mineola Blvd FL 2
Mineola, NY 11501-4089
Phone (516) 663-3511

Other identifiers 1

IdentifierTypeStateIssuer
1962798363OtherNYNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbarillascerritos463992@nyumc.direct-ci.com

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
I20210830002390 NY Practitioner - Pediatric Medicine 2062751605 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 7, 2021 Accepting new patients
New York University Pediatrics CurrentSince Sep 7, 2021 Accepting new patients

Locations

760 Broadway
Brooklyn, NY 11206
Phone (718) 963-5807

1111 Franklin Ave
Garden City, NY 11530
Phone (516) 222-8600

101 Mineola Blvd
Fl 2
Mineola, NY 11501
Phone (516) 633-3511

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: jbarillascerritos463992@nyumc.direct-ci.com

Organizations & group practices 2

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1962798363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MINEOLA BLVD FL 2",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014089",
            "telephone_number": "516-663-3511",
            "fax_number": "516-663-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MINEOLA BLVD FL 2",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014089",
            "telephone_number": "516-663-3511",
            "fax_number": "516-663-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARILLAS CERRITOS",
        "first_name": "JULIA",
        "middle_name": "ELISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "003737",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NY",
            "license": "272839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962798363",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbarillascerritos463992@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "101 Mineola Blvd Fl 2",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115014089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.