Barnert Rehabilitation Medicine and Physical Therapy LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA07867500 Issued in NJ

Legal business name

BARNERT REHABILITATION MEDICINE AND PHYSICAL THERAPY LLC

Practice address

680 Broadway
Paterson, NJ 07514-1422

Phone

(973) 689-7179

Fax

(973) 689-7180

NPI assigned

Oct 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sairamachandra R Kolla, MD

Title

Owner

Phone

(973) 689-7179

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1023328614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6455",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073060455",
            "telephone_number": "973-689-7179",
            "fax_number": "973-689-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141422",
            "telephone_number": "973-689-7179",
            "fax_number": "973-689-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNERT REHABILITATION MEDICINE AND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "KOLLA",
        "authorized_official_first_name": "SAIRAMACHANDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-689-7179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA07867500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barnert Hospital
• Barnert Hospital
• Barnert Imaging Center, LLC
• Barnert Imaging LLC
• Barnert Medical Associates LLC
• Barnert Subacute Rehabilitation Center, LLC
• Barnert Surgical Center, LLC
• Stacey Ann Barnes, D.O.
• Barnet Drugs LLC
• Karlee Barnett, PA

• Physical Medicine & Rehabilitation Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.