Healthcare Provider Details

I. General information

NPI: 1518792860
Provider Name (Legal Business Name): BARNABAS HEALTH MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

377 JERSEY AVE STE 550
JERSEY CITY NJ
07302-4691
US

IV. Provider business mailing address

377 JERSEY AVE STE 550
JERSEY CITY NJ
07302-4691
US

V. Phone/Fax

Practice location:
  • Phone: 201-716-5850
  • Fax:
Mailing address:
  • Phone: 908-894-9857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: RURIC ANDERSON
Title or Position: MD
Credential:
Phone: 732-897-4200