Provider Demographics
NPI:1477228971
Name:ST. BARNABAS HOSPITAL
Entity Type:Organization
Organization Name:ST. BARNABAS HOSPITAL
Other - Org Name:ST. BARNABAS HOSPITAL DENTAL DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-960-3842
Mailing Address - Street 1:4422 3RD AVE
Mailing Address - Street 2:DENTAL DEPARTMENT
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457
Mailing Address - Country:US
Mailing Address - Phone:718-960-9000
Mailing Address - Fax:718-960-6465
Practice Address - Street 1:4422 3RD AVE
Practice Address - Street 2:DENTAL DEPARTMENT
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457
Practice Address - Country:US
Practice Address - Phone:718-960-6839
Practice Address - Fax:718-960-3663
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST BARNABAS HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-16
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty