Individual provider Active NPI

Domenica Maria Barritta, M.D.

  • Gastroenterology Physician
  • Newark, NJ
National Provider Identifier
1063428878
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA07669400 Issued in NJ
Practice address
18 Oliver St
Newark, NJ 07102-3410
Phone
(973) 645-0000
Fax
(973) 645-0001
NPI assigned
Aug 1, 2006
Last updated
Jun 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA07669400 NJ Primary

Addresses

Primary practice location

18 Oliver St
Newark, NJ 07102-3410

Mailing address

PO Box 2337
Syracuse, NY 13220-2337
Phone (315) 422-2933

Other identifiers 1

IdentifierTypeStateIssuer
0036625MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041116000744 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 5496719734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NJ Gastro, LLCGroup PAC ID 7911058169, 4 clinicians

Practice addresses (Care Compare)

1700 Galloping Hill Rd
Kenilworth, NJ 07033-1303
Phone (908) 241-8900

24 Merchant St
Newark, NJ 07105-2847
Phone (973) 645-0000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy39
Upper gastrointestinal (GI) endoscopy for acid reflux38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ironbound Endo Surgical Center, Inc. Current Accepting new patients
DB Pathology Current Accepting new patients
NJ Gastro, LLC Gastroenterology CurrentSince May 10, 2009 Accepting new patients
Essex Endoscopy Center LLC PastSince May 21, 2004 Accepting new patients

Locations

79 Hudson St
Ste 301
Hoboken, NJ 07030
Phone (908) 481-1270

1700 Galloping Hill Rd
Kenilworth, NJ 07033
Phone (908) 241-8900

18 Oliver St
Newark, NJ 07102
Phone (973) 329-0854

24 Merchant St
Newark, NJ 07105
Phone (973) 344-4787

24 Merchant St
Ste 28
Newark, NJ 07105

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1063428878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2337",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132202337",
            "telephone_number": "315-422-2933",
            "fax_number": "315-701-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 OLIVER ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023410",
            "telephone_number": "973-645-0000",
            "fax_number": "973-645-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRITTA",
        "first_name": "DOMENICA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA07669400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036625",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.