Organization Active NPI

Saint Barnabas Outpatient Centers

  • Rehabilitation Clinic/Center
  • Livingston, NJ
National Provider Identifier
1316945561
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
70786 Issued in NJ
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 CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8751005MedicaidNJ
8755701MedicaidNJ

Other names 1

  • COMPREHENSIVE REHABILITATION CENTER Doing business as

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

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.

Verify at the official NPI Registry.