Individual provider Active NPI

Jerome Barr, M.D.

  • Rheumatology Physician
  • Fair Lawn, NJ
National Provider Identifier
1396914867
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
239213-1 Issued in NY
Practice address
17-15 Maple Ave
2ND FL
Fair Lawn, NJ 07410-1552
Phone
(201) 677-8759
Fax
(201) 654-7489
NPI assigned
Feb 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 239213-1 NY Primary

Addresses

Primary practice location

17-15 Maple Ave
2ND FL
Fair Lawn, NJ 07410-1552

Mailing address

17-15 Maple Ave
2ND FL
Fair Lawn, NJ 07410-1552
Phone (201) 677-8759

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080721000280 NJ Practitioner - Rheumatology 4880767102 Reassigns benefits to 2 organizations
Practice locations: Fair Lawn, NJ

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
State University of New York Downstate Medical Center, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians

Practice addresses (Care Compare)

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-6331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
239213-1NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical Group PC CurrentSince Nov 2, 2021 Accepting new patients
St. Joseph's Healthcare, Inc. CurrentSince May 12, 2012 Accepting new patients
Barr Medical Limited Liability Company Rheumatology Past Accepting new patients
Bajzath Rehabilitation Facility PC Past Accepting new patients

Locations

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

Organizations & group practices 4

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": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1396914867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-15 MAPLE AVE",
            "address_2": "2ND FL",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101552",
            "telephone_number": "201-677-8759",
            "fax_number": "201-654-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-15 MAPLE AVE",
            "address_2": "2ND FL",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101552",
            "telephone_number": "201-677-8759",
            "fax_number": "201-654-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARR",
        "first_name": "JEROME",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-28",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "239213-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.