Barnert Imaging LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

BARNERT IMAGING LLC

Practice address

680 Broadway
Suite 008
Paterson, NJ 07514

Phone

(973) 689-7179

NPI assigned

Jun 17, 2015

Last updated

Oct 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sairamachandra Rao Kolla, M.DNPI 1174503205

Title

Adminstrator

Phone

(848) 206-9363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Feng Tao, MD

  • Diagnostic Radiology Physician
  • Hoboken, NJ
  • NPI 1285621748
  Medicare reassignment NPD
• Sairamachandra Rao Kolla, M.D

  • Physical Medicine & Rehabilitation Physician
  • Jershey City, NJ
  • NPI 1174503205
  NPD (past) Authorized official

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1710368576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 BROADWAY",
            "address_2": "SUITE 005B",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07514",
            "telephone_number": "848-206-6393",
            "fax_number": "848-208-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BROADWAY",
            "address_2": "SUITE 008",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07514",
            "telephone_number": "973-689-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNERT IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "KOLLA",
        "authorized_official_first_name": "SAIRAMACHANDRA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "848-206-9363",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barnert Hospital
• Barnert Hospital
• Barnert Hospital
• Barnert Hospital
• Barnert Imaging Center, LLC
• Barnert Medical Associates LLC
• Barnert Rehabilitation Medicine and Physical Therapy LLC
• Barnert Subacute Rehabilitation Center, LLC
• Barnert Surgical Center, LLC
• Stacey Ann Barnes, D.O.

• Radiology Clinic/Center in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Radiology Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.