Provider Demographics
NPI:1427439785
Name:SAINT BARNABAS MEDICAL CENTER
Entity type:Organization
Organization Name:SAINT BARNABAS MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MCNANY
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:973-322-5000
Mailing Address - Street 1:200 SOUTH ORANGE AVENUE SUITE 102
Mailing Address - Street 2:AMBULATORY CARE CENTER
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039
Mailing Address - Country:US
Mailing Address - Phone:973-322-5000
Mailing Address - Fax:
Practice Address - Street 1:200 SOUTH ORANGE AVE SUITE 102
Practice Address - Street 2:AMBULATORY CARE CENTER
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-0703
Practice Address - Country:US
Practice Address - Phone:073-322-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-12
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNO261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical