Organization Active NPI

Saint Barnabas Medical Center

  • Health Service Clinic/Center
  • Livingston, NJ
National Provider Identifier
1356429781
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
35SI00434100 Issued in NJ
Legal business name
SAINT BARNABAS MEDICAL CENTER
Practice address
200 S Orange Ave
Pediatric Specialty Center
Livingston, NJ 07039-5817
Phone
(973) 322-7620
Fax
(973) 322-7504
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Authorized official

Name
Dr. Debra Shapiro Gill, PH.D.
Title
Director
Phone
(973) 322-7620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 35SI00434100 NJ Primary

Addresses

Primary practice location

200 S Orange Ave
Pediatric Specialty Center
Livingston, NJ 07039-5817

Mailing address

200 South Orange Ave
Livingston, NJ 07078
Phone (973) 322-7620

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1356429781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTH ORANGE AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07078",
            "telephone_number": "973-322-7620",
            "fax_number": "973-322-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE",
            "address_2": "PEDIATRIC SPECIALTY CENTER",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "973-322-7620",
            "fax_number": "973-322-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT BARNABAS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "SHAPIRO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-322-7620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": "35SI00434100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 15, 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.