Physician Compare National (NPI:1720075070)

HEALTHCARE PROVIDER: EDWARD HARBACK MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1720075070
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769545599
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090106000214
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HARBACK
	Individual professional last name
Provider First Name	EDWARD
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	RUTGERS SCHOOL OF DENTAL MEDICINE
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BARNABAS HEALTH MEDICAL GROUP PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9537316955
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	210
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	741 NORTHFIELD AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 205
	Group Practice or individual's line 2 address
City	WEST ORANGE
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	070521174
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9734671544
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310076
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT BARNABAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y