Healthcare Provider Details

I. General information

NPI: 1659501948
Provider Name (Legal Business Name): BARNERT MEDICAL ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2009
Last Update Date: 07/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 BROADWAY SUITE 2D
PATERSON NJ
07514-1422
US

IV. Provider business mailing address

680 BROADWAY SUITE 2D
PATERSON NJ
07514-1422
US

V. Phone/Fax

Practice location:
  • Phone: 973-278-8818
  • Fax:
Mailing address:
  • Phone: 973-278-8818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number79586
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number45233
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number42837
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number158015
License Number StateNY

VIII. Authorized Official

Name: DR. JOSE R SANCHEZ-PENA
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 973-278-8818