Active NPI
Saint Barnabas Outpatient Centers
- Rehabilitation Clinic/Center
- Livingston, NJ
National Provider Identifier
1316945561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- 70786
- Legal business name
- SAINT BARNABAS OUTPATIENT CENTERS
- Practice address
- 200 S Orange Ave
Livingston, NJ 07039-5817 - Phone
- (973) 322-7500
- Fax
- (973) 322-7501
- NPI assigned
- Jul 12, 2005
- Organization subpart
- Yes
- Parent organization
- SAINT BARNABAS OUTPATIENT CENTERS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory A. Alban
- Title
- Avp of Finance
- Phone
- (973) 322-7331
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | 70786 | NJ | |
| Medical Specialty Clinic/Center | 261QM2500X | 70786 | NJ | |
| Physical Therapy Clinic/Center | 261QP2000X | 70786 | NJ | |
| Rehabilitation Clinic/Center | 261QR0400X | 70786 | NJ | Primary |
| Occupational Medicine Clinic/Center | 261QX0100X | 70786 | NJ |
Addresses
Primary practice location
200 S Orange Ave
Livingston, NJ 07039-5817
Mailing address
1050 Galloping Hill Rd
Union, NJ 07083-7983
Phone (908) 206-2230
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8751005 | Medicaid | NJ | |
| 8755701 | Medicaid | NJ |
Other names 1
- COMPREHENSIVE REHABILITATION CENTER
National Provider Directory
National Provider Directory- Part of
- St Barnabas Op Same Day
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1050 Galloping Hill Rd
Union, NJ 07083
Phone (908) 206-2230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400716800000",
"number": "1316945561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 GALLOPING HILL RD",
"city": "UNION",
"state": "NJ",
"postal_code": "070837983",
"telephone_number": "908-206-2230",
"fax_number": "908-206-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S ORANGE AVE",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395817",
"telephone_number": "973-322-7500",
"fax_number": "973-322-7501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT BARNABAS OUTPATIENT CENTERS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAINT BARNABAS OUTPATIENT CENTERS",
"enumeration_date": "2005-07-12",
"last_updated": "2014-05-22",
"status": "A",
"authorized_official_last_name": "ALBAN",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "AVP OF FINANCE",
"authorized_official_telephone_number": "973-322-7331",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": "NJ",
"license": "70786",
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NJ",
"license": "70786",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NJ",
"license": "70786",
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "NJ",
"license": "70786",
"primary": true
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": "NJ",
"license": "70786",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8751005",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8755701",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "COMPREHENSIVE REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Livingston, NJ
- Saint Barnabas Medical Center
- Saint Barnabas Medical Center
- Saint Barnabas Medical Center
- Saint Barnabas Multi Specialty
- Saint Barnabas Outpatient Centers
- Saint Barnabas Outpatient Centers
- Saint Barnabas Outpatient Centers
- Saint Barnabas Outpatient Centers
- Saint Barnabas Outpatient Centers
- Saint Barnabas Outpatient Centers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.