Individual provider Active NPI

Barbara Mitchell, M.D.

  • General Practice Physician
  • Chester, NJ
National Provider Identifier
1629473087
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MA043460 Issued in NJ
Practice address
385 State Route 24
BLDG 3C
Chester, NJ 07930-2918
Phone
(908) 879-8000
Fax
(908) 879-1385
NPI assigned
Oct 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MA043460 NJ Primary

Addresses

Primary practice location

385 State Route 24
BLDG 3C
Chester, NJ 07930-2918

Mailing address

385 State Route 24
BLDG 3C
Chester, NJ 07930-2918
Phone (908) 879-8000

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA043460NJMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa M. Bonaventura, M.D., P.a. Past Accepting new patients
Rachel D. Specht, LLC PastSince Dec 8, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1629473087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 STATE ROUTE 24",
            "address_2": "BLDG 3C",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302918",
            "telephone_number": "908-879-8000",
            "fax_number": "908-879-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 STATE ROUTE 24",
            "address_2": "BLDG 3C",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302918",
            "telephone_number": "908-879-8000",
            "fax_number": "908-879-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BARBARA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "MA043460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.