Ronald Richard Baratta, M.D.

Individual provider Active NPI Legal Medicine · Lindenhurst, NY

NPI 1992769236 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1992769236
Entity type
Individual (NPI type 1)
Primary specialty
Legal Medicine 173000000X
License
93113 (NY)
Practice address
672 N Wellwood Ave
Suite 4
Lindenhurst, NY 11757-1677
Phone
(631) 957-2200
Fax
(631) 957-4619
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160413001035 NY Order and Referring Only - Family Practice
Practitioner - Family Practice
1355649047

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
93113NYMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Urgent Medical PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 93113 NY Yes

Addresses

Primary practice location

672 N Wellwood Ave
Suite 4
Lindenhurst, NY 11757-1677

Mailing address

672 N Wellwood Ave
Suite 4
Lindenhurst, NY 11757-1677
Phone (631) 957-2200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992769236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 N WELLWOOD AVE",
            "address_2": "SUITE 4",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571677",
            "telephone_number": "631-957-2200",
            "fax_number": "631-957-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 N WELLWOOD AVE",
            "address_2": "SUITE 4",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571677",
            "telephone_number": "631-957-2200",
            "fax_number": "631-957-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARATTA",
        "first_name": "RONALD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "93113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

All providers in Lindenhurst, NY · Legal Medicine in New York

Sources for this page

Verify at the official NPI Registry.