Physician Compare National (NPI:1962446690)

HEALTHCARE PROVIDER: JONATHAN MARC BAROFSKY M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1962446690
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476609389
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090917000620
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BAROFSKY
	Individual professional last name
Provider First Name	JONATHAN
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1255 HWY 70
	Group Practice or individual's line 1 address
Line 2 Street Address	31N
	Group Practice or individual's line 2 address
City	LAKEWOOD
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	087015973
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310084
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y