St. Barnabas Hospital

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

002445-1 Issued in NY

Legal business name

ST. BARNABAS HOSPITAL

Practice address

75 Ivy LN
Tenafly, NJ 07670-2648

Phone

(201) 568-2807

NPI assigned

Dec 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marina Velickovic, M.D.

Title

Hospitalist

Phone

(718) 960-9000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407911076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 IVY LN",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702648",
            "telephone_number": "201-568-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 IVY LN",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702648",
            "telephone_number": "201-568-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. BARNABAS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VELICKOVIC",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "HOSPITALIST",
        "authorized_official_telephone_number": "718-960-9000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "NY",
            "license": "002445-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youngin Son
• Jane Song
• Yong U Song, D.D.S
• Spectrum for Living Development, Inc.
• Sport and Spine Physical Therapy Center Inc
• John R. Stabile, M.D.
• Amy Beth Star, LCSW
• Yvette Starer, MD
• Linda Steffe, LCSW
• Stacey R Stetson, LCSW

• Children's Hospital in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Children's Hospital in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.