Active NPI
Judith Anne Barry, APN
- Women's Health Nurse Practitioner
- Livingston, NJ
National Provider Identifier
1447283379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 26NO04649700
- Practice address
- 94 Old Short Hills Rd
East Wing Suite 401
Livingston, NJ 07039-5672 - Phone
- (973) 322-9704
- Fax
- (973) 322-8064
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 26NO04649700 | NJ | Primary |
Addresses
Primary practice location
94 Old Short Hills Rd
East Wing Suite 401
Livingston, NJ 07039-5672
Mailing address
143 Watchung PL
Nutley, NJ 07110-2030
Phone (973) 284-0475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0065471 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO04649700 | NJ | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey Segal MD PA | Past | Accepting new patients | |
| Saint Barnabas Palliative Care Physicians PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Livingston, NJ
- NPI 1588893986
-
- Internal Medicine Physician
- West Orange, NJ
- NPI 1972779130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447283379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 WATCHUNG PL",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071102030",
"telephone_number": "973-284-0475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 OLD SHORT HILLS RD",
"address_2": "EAST WING SUITE 401",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395672",
"telephone_number": "973-322-9704",
"fax_number": "973-322-8064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "JUDITH",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NJ",
"license": "26NO04649700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0065471",
"state": "NJ"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.