Individual provider Active NPI

Judith Ann Barberio, PH.D., RN, APN,C

  • Nurse Practitioner
  • Lebanon, NJ
National Provider Identifier
1295950061
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NN05024500 Issued in NJ
Practice address
7 Haytown Rd
Lebanon, NJ 08833-4009
Phone
(908) 287-1188
Fax
(908) 287-1189
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NN05024500 NJ Primary

Addresses

Primary practice location

7 Haytown Rd
Lebanon, NJ 08833-4009

Mailing address

7 Haytown Rd
Lebanon, NJ 08833-4009
Phone (908) 287-1188

Other identifiers 1

IdentifierTypeStateIssuer
6975305MedicaidNJ

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110907001331 NJ Practitioner - Nurse Practitioner 7719157486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Avenue Professional Services, PCGroup PAC ID 7214258003, 49 clinicians

Practice addresses (Care Compare)

111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Central Avenue Professional Services, PC CurrentSince Sep 21, 2022 Accepting new patients
David P Saur MD PA CurrentSince Jun 1, 2014 Accepting new patients

Locations

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

268 Dr Martin Luther King Jr Blvd
Newark, NJ 07102
Phone (973) 678-5700

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1295950061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HAYTOWN RD",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088334009",
            "telephone_number": "908-287-1188",
            "fax_number": "908-287-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HAYTOWN RD",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088334009",
            "telephone_number": "908-287-1188",
            "fax_number": "908-287-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBERIO",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D., RN, APN,C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NN05024500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6975305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NJ

Sources for this page

Verify at the official NPI Registry.