Saint Barnabas Outpatient Centers

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

70786 Issued in NJ

Legal business name

SAINT BARNABAS OUTPATIENT CENTERS

Doing business as

Sports Medicine and Research Institute

Practice address

200 S Orange Ave
Livingston, NJ 07039-5817

Phone

(973) 322-7909

Fax

(973) 322-7776

NPI assigned

Jul 13, 2005

Last updated

May 22, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

SAINT BARNABAS OUTPATIENT CENTERSAs reported in NPPES

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 1

Addresses

Other identifiers 1

Other names 1

• SPORTS MEDICINE AND RESEARCH INSTITUTE Doing business as

Part of

St Barnards Outpt Cente

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1417955485",
    "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": "973-322-7909",
            "fax_number": "973-322-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT BARNABAS OUTPATIENT CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT BARNABAS OUTPATIENT CENTERS",
        "enumeration_date": "2005-07-13",
        "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": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NJ",
            "license": "70786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8180407",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPORTS MEDICINE AND RESEARCH INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saint Barnabas Medical Center
• Saint Barnabas Medical Center
• Saint Barnabas Multi Specialty (SBMC Multi Specialty)
• Saint Barnabas Outpatient Centers (Siegler Center for Integrative Medicine)
• Saint Barnabas Outpatient Centers (Comprehensive Rehabilitation Center)
• Saint Barnabas Outpatient Centers (Pain Institute)
• Saint Barnabas Outpatient Centers (Osteoporosis and Metabolic Bone Disease Center)
• Saint Barnabas Outpatient Centers (Radiology Center)
• Saint Barnabas Outpatient Centers (Professional Radiology Services)
• Saint Barnabas Outpatient Centers (Radiology Imaging Breast Center)

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• 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.