Provider Demographics
NPI:1407838972
Name:BARCAS, PETER P (DO)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:P
Last Name:BARCAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1944 CORLIES AVE
Mailing Address - Street 2:STE 206
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753
Mailing Address - Country:US
Mailing Address - Phone:732-774-8282
Mailing Address - Fax:732-774-6816
Practice Address - Street 1:1944 CORLIES AVE
Practice Address - Street 2:STE 206
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753
Practice Address - Country:US
Practice Address - Phone:732-774-8282
Practice Address - Fax:732-774-6816
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB503382084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6472605Medicaid
NJ5135401Medicaid
NJE81245Medicare UPIN
NJ532538Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
NJ6472605Medicaid