Active NPI
Burn Surgeons of Saint Barnabas, LLP
- Surgical Critical Care Physician
- Livingston, NJ
National Provider Identifier
1750344677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- Legal business name
- BURN SURGEONS OF SAINT BARNABAS, LLP
- Practice address
- 94 Old Short Hills Rd
Livingston, NJ 07039-5672 - Phone
- (973) 322-5924
- Fax
- (973) 322-5447
- NPI assigned
- Apr 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sylvia Jean Petrone, MD
- Title
- Surgeon /Partner
- Phone
- (973) 322-5924
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | |||
| Surgical Critical Care Physician | 2086S0102X | Primary |
Addresses
Primary practice location
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Mailing address
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3330401 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184544000000",
"number": "1750344677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 OLD SHORT HILLS RD",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395672",
"telephone_number": "973-322-5924",
"fax_number": "973-322-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 OLD SHORT HILLS RD",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395672",
"telephone_number": "973-322-5924",
"fax_number": "973-322-5447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURN SURGEONS OF SAINT BARNABAS, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-11",
"last_updated": "2007-07-16",
"status": "A",
"authorized_official_last_name": "PETRONE",
"authorized_official_first_name": "SYLVIA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "SURGEON /PARTNER",
"authorized_official_telephone_number": "973-322-5924",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Surgical Critical Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3330401",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.