Provider Demographics
NPI:1699064600
Name:BARN, KULPREET (MD)
Entity type:Individual
Prefix:DR
First Name:KULPREET
Middle Name:
Last Name:BARN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:379 CAMPUS DR FL 4
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1161
Mailing Address - Country:US
Mailing Address - Phone:732-937-8939
Mailing Address - Fax:215-860-8950
Practice Address - Street 1:770 LIGHTHOUSE DR
Practice Address - Street 2:BLDG A STE 140
Practice Address - City:BARNEGAT
Practice Address - State:NJ
Practice Address - Zip Code:08005-2373
Practice Address - Country:US
Practice Address - Phone:732-930-2721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09438200207RA0001X, 207RC0000X
PAMD451436207RA0001X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1548509185OtherNPI
NJ0426083Medicaid
NJ1275582280OtherNPI
NJ1124369822OtherNPI GROUP
PA1548509185OtherNPI
22-3505477OtherTIN