Provider Demographics
NPI:1033120985
Name:JOSEPH D. BARBELLA JR DO LLC
Entity Type:Organization
Organization Name:JOSEPH D. BARBELLA JR DO LLC
Other - Org Name:TRILOGY PAIN ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARBELLA
Authorized Official - Suffix:
Authorized Official - Credentials:NPC
Authorized Official - Phone:609-927-1188
Mailing Address - Street 1:2106 NEW RD
Mailing Address - Street 2:SUITE D-6
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1046
Mailing Address - Country:US
Mailing Address - Phone:609-927-1188
Mailing Address - Fax:609-927-5515
Practice Address - Street 1:2106 NEW RD
Practice Address - Street 2:SUITE D-6
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1046
Practice Address - Country:US
Practice Address - Phone:609-927-1188
Practice Address - Fax:609-927-5515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06013800207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F66635Medicare UPIN
NJ536760VKDMedicare ID - Type Unspecified