NPIMap

Organization Active NPI

St Barnabas Medical Center

  • Student in an Organized Health Care Education/Training Program
  • Lake Hiawatha, NJ
National Provider Identifier
1336374354
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
ST BARNABAS MEDICAL CENTER
Practice address
14 N Beverwyck Rd
Apt # 3
Lake Hiawatha, NJ 07034-2517
Phone
(405) 512-9406
NPI assigned
May 19, 2009
Last updated
May 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Nurlela Gouveia, M.D
Title
Student in Training
Phone
(405) 512-9406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

14 N Beverwyck Rd
Apt # 3
Lake Hiawatha, NJ 07034-2517

Mailing address

14 N Beverwyck Rd
Apt # 3
Lake Hiawatha, NJ 07034-2517
Phone (405) 512-9406

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1336374354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N BEVERWYCK RD",
            "address_2": "APT # 3",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070342517",
            "telephone_number": "405-512-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N BEVERWYCK RD",
            "address_2": "APT # 3",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070342517",
            "telephone_number": "405-512-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BARNABAS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "GOUVEIA",
        "authorized_official_first_name": "NURLELA",
        "authorized_official_title_or_position": "STUDENT IN TRAINING",
        "authorized_official_telephone_number": "405-512-9406",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Hiawatha, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.