Provider Demographics
NPI:1376523605
Name:PETER BARNETT & HOWARD J PHILLIPS
Entity Type:Organization
Organization Name:PETER BARNETT & HOWARD J PHILLIPS
Other - Org Name:SUBURBAN THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE & CONTRACT COORDINATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:JANIE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-256-0330
Mailing Address - Street 1:194 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009-1141
Mailing Address - Country:US
Mailing Address - Phone:973-256-0330
Mailing Address - Fax:973-812-0339
Practice Address - Street 1:194 2ND AVE
Practice Address - Street 2:
Practice Address - City:CEDAR GROVE
Practice Address - State:NJ
Practice Address - Zip Code:07009-1141
Practice Address - Country:US
Practice Address - Phone:973-256-0330
Practice Address - Fax:973-812-0339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-20
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6004960001Medicare NSC
NJ044808Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER