Healthcare Provider Details

I. General information

NPI: 1124941109
Provider Name (Legal Business Name): PEAPACK MEDICAL ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 HIGHLAND AVENUE P.O. BOX 200
PEAPACK NJ
07977-0200
US

IV. Provider business mailing address

65 HIGHLAND AVENUE P.O. BOX 200
PEAPACK NJ
07977-0200
US

V. Phone/Fax

Practice location:
  • Phone: 908-234-0011
  • Fax: 908-234-2635
Mailing address:
  • Phone: 908-234-0011
  • Fax: 908-234-2635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. VINCENT BARBA
Title or Position: PRESIDENT
Credential: MD
Phone: 908-234-0011