Individual provider Active NPI

Daniella Jo Barber, DO

  • Internal Medicine Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1700413168
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB11862700 Issued in NJ
Practice address
910 Sylvan Ave Ste 210
Englewood Cliffs, NJ 07632-3305
Phone
(201) 408-6166
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB11862700 NJ Primary

Addresses

Primary practice location

910 Sylvan Ave Ste 210
Englewood Cliffs, NJ 07632-3305

Mailing address

13 Hedgerow Dr
Englewood, NJ 07631-5037
Phone (206) 755-4484

Other practice location 1

13 Hedgerow Dr
Englewood, NJ 07631-5037
Phone (206) 755-4484

Other identifiers 1

IdentifierTypeStateIssuer
0954322MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231109000545 NJ Practitioner - Internal Medicine 6406203678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Touro Un Col of Osteopathic Medicine, New York, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

375 Engle St
Englewood, NJ 07631-1823
Phone (201) 894-0400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Nov 15, 2023 Accepting new patients

Locations

375 Engle St
Englewood, NJ 07631
Phone (201) 894-0400

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

910 Sylvan Ave
Ste 210
Englewood Cliffs, NJ 07632
Phone (201) 408-6166

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

30 Montgomery St
Ste 720
Jersey City, NJ 07302
Phone (212) 524-7709

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1700413168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HEDGEROW DR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076315037",
            "telephone_number": "206-755-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SYLVAN AVE STE 210",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323305",
            "telephone_number": "201-408-6166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Hedgerow Dr",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076315037",
            "country_code": "US",
            "telephone_number": "206-755-4484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBER",
        "first_name": "DANIELLA",
        "middle_name": "JO",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB11862700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0954322",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

Verify at the official NPI Registry.