Active NPI
Saint Barnabas Outpatient Centers
- Endocrinology, Diabetes & Metabolism Physician
- Livingston, NJ
National Provider Identifier
1699775460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- SAINT BARNABAS OUTPATIENT CENTERS
- Practice address
- 200 S Orange Ave
Livingston, NJ 07039-5817 - Phone
- (973) 322-7430
- Fax
- (973) 322-7460
- NPI assigned
- Jul 22, 2005
- Organization subpart
- Yes
- Parent organization
- SAINT BARNABAS OUTPATIENT CENTERS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas J. Gibney
- Title
- Chief Financial Center
- Phone
- (973) 322-7286
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | NJ | Primary | |
| Rheumatology Physician | 207RR0500X | NJ |
Addresses
Primary practice location
200 S Orange Ave
Livingston, NJ 07039-5817
Mailing address
1050 Galloping Hill Rd
Union, NJ 07083-7983
Phone (908) 206-2230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8040401 | Medicaid | NJ |
Other names 1
- OSTEOPOROSIS AND METABOLIC BONE DISEASE CENTER
National Provider Directory
National Provider Directory- Part of
- St Barnabas Op Same Day
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185235200000",
"number": "1699775460",
"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": "973-322-7430",
"fax_number": "973-322-7460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT BARNABAS OUTPATIENT CENTERS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAINT BARNABAS OUTPATIENT CENTERS",
"enumeration_date": "2005-07-22",
"last_updated": "2007-07-24",
"status": "A",
"authorized_official_last_name": "GIBNEY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CHIEF FINANCIAL CENTER",
"authorized_official_telephone_number": "973-322-7286"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NJ",
"license": null,
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "NJ",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8040401",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OSTEOPOROSIS AND METABOLIC BONE DISEASE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Livingston, NJ
- Saint Barnabas Multi Specialty
- Saint Barnabas Outpatient Centers
- Saint Barnabas Outpatient Centers
- Saint Barnabas Outpatient Centers
- Saint Barnabas Outpatient Centers
- Saint Barnabas Outpatient Centers
- Saint Barnabas Outpatient Centers
- Saint Barnabas Outpatient Centers
- Saint Barnabas Outpatient Centers
- Saint Barnabas Outpatient Centers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.