Active NPI
Saint Barnabas Outpatient Centers
- Neurology Physician
- Livingston, NJ
National Provider Identifier
1962464255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA04600200
- Legal business name
- SAINT BARNABAS OUTPATIENT CENTERS
- Practice address
- 200 S Orange Ave
Livingston, NJ 07039-5817 - Phone
- (973) 322-7484
- Fax
- (973) 322-8250
- NPI assigned
- Apr 4, 2006
- 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
- Mr. Gregory A Alban
- Title
- Avp of Finance
- Phone
- (973) 322-7331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 25MA04600200 | NJ | Primary |
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 |
|---|---|---|---|
| 0107158 | Medicaid | NJ |
Other names 1
- MULTIPLE SCLEROSIS COMPREHENSIVE CARE 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": "1144108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400716800000",
"number": "1962464255",
"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": "973-322-7484",
"fax_number": "973-322-8250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT BARNABAS OUTPATIENT CENTERS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAINT BARNABAS OUTPATIENT CENTERS",
"enumeration_date": "2006-04-04",
"last_updated": "2014-05-22",
"status": "A",
"authorized_official_last_name": "ALBAN",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "AVP OF FINANCE",
"authorized_official_telephone_number": "973-322-7331",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA04600200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0107158",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MULTIPLE SCLEROSIS COMPREHENSIVE CARE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}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 May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.