Derek R Barclay (NPI# 1235395260, PAC ID# 4385785450) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1235395260 |
PAC ID by PECOS | 4385785450 |
Professional Enrollment ID | I20100112000150 |
Full Name | Derek R Barclay |
Organization Legal Name | PIVOT ACUPUNCTURE AND PHYSICAL THERAPY PLLC |
Address |
12 Buffalo St Bergen NY 14416-9766 |
Phone Number | 5857091482 |
Gender | M |
Graduation Year | 2008 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 0547587529 |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
12 Buffalo St, Bergen, NY 14416-9766 | 5857091482 | PIVOT ACUPUNCTURE AND PHYSICAL THERAPY PLLC |
Organization Legal Name | PIVOT ACUPUNCTURE AND PHYSICAL THERAPY PLLC |
Physicians | 1 |
Street Address |
12 BUFFALO ST |
City | BERGEN |
State | NY |
Zip | 14416-9766 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy P Mercovich | Chiropractic | 45 N Lake Ave, Bergen, NY 14416-9528 | |
Michael J Maggiulli | Family Medicine | United Memorial Medical Center | 6966 W Bergen Rd, Bergen, NY 14416-9743 |
Kati Sisson | Nurse Practitioner | United Memorial Medical Center | 6966 W Bergen Rd, Bergen, NY 14416-9743 |
Jennifer A Wheeler | Family Medicine | United Memorial Medical Center | 6966 W Bergen Rd, Bergen, NY 14416-9743 |
City | BERGEN |
Zip Code | 14416 |
Specialty | PHYSICAL THERAPY |
City + Specialty | BERGEN + PHYSICAL THERAPY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.