Paul W Barnickel, M.D.
Individual provider Active NPI Internal Medicine Physician · Eatontown, NJ
NPI 1669449476 · NPPES record last updated Sep 10, 2020
Key facts
- NPI
- 1669449476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 25MA04826900 (NJ)
- Practice address
- 145 Wyckoff Rd Ste 301
Eatontown, NJ 07724-1887 - Phone
- (848) 208-5250
- Fax
- (732) 935-1590
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051006000643 | NJ | Practitioner - Internal Medicine | 7810912003 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Primary Care Services | Internal Medicine | Current |
Accepting new patients |
| HMH Hospitals Corporation | Past | Accepting new patients | |
| Monmouth Medical Center Inc | Past | Accepting new patients |
Locations
145 Wyckoff Rd
Ste 301
Eatontown, NJ 07724
Phone (732) 222-0180
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA04826900 | NJ | Yes |
Addresses
Primary practice location
145 Wyckoff Rd Ste 301
Eatontown, NJ 07724-1887
Mailing address
PO Box 8000
Dept 596
Buffalo, NY 14267-0002
Phone (866) 295-0041
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1221701 | Medicaid | NJ |
Other providers in Eatontown, NJ
- Pauline Bailo
- Megha Banerjee
- Susanne Baran
- Valkiria D Barbosa Bezerra
- Justine Barnao
- Lynda Baron
- Perri J Barra
- Barry J. Edison D.O. P.C.
- Ariel Barter
- Sonal Batra
All providers in Eatontown, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.