Provider Demographics
NPI:1659317857
Name:BARBELLA, JOSEPH D (DO)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:D
Last Name:BARBELLA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2106 NEW RD
Mailing Address - Street 2:SUITE D6
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 D6
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB060138207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6290108Medicaid
NJ6290108Medicaid
536760Medicare ID - Type Unspecified