Individual provider Active NPI

Donna M Barry, APN-C

  • Family Nurse Practitioner
  • Montclair, NJ
National Provider Identifier
1861615684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NN055364000 Issued in NJ
Practice address
1 Normal Ave
Montclair State University Health Center, Blanton Hall
Montclair, NJ 07043-1624
Phone
(973) 655-7470
Fax
(973) 655-4159
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NN055364000 NJ Primary

Addresses

Primary practice location

1 Normal Ave
Montclair State University Health Center, Blanton Hall
Montclair, NJ 07043-1624

Mailing address

53 Crestview Ave
Madison, NJ 07940-2823
Phone (973) 377-2268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NN055364000NJMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861615684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 CRESTVIEW AVE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402823",
            "telephone_number": "973-377-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORMAL AVE",
            "address_2": "MONTCLAIR STATE UNIVERSITY HEALTH CENTER, BLANTON HALL",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431624",
            "telephone_number": "973-655-7470",
            "fax_number": "973-655-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "DONNA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN055364000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.