Provider Demographics
NPI:1659501948
Name:BARNERT MEDICAL ASSOCIATES LLC
Entity Type:Organization
Organization Name:BARNERT MEDICAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SANCHEZ-PENA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-278-8818
Mailing Address - Street 1:680 BROADWAY
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07514-1422
Mailing Address - Country:US
Mailing Address - Phone:973-278-8818
Mailing Address - Fax:
Practice Address - Street 1:680 BROADWAY
Practice Address - Street 2:SUITE 2D
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07514-1422
Practice Address - Country:US
Practice Address - Phone:973-278-8818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ79586207R00000X
NJ45233207RN0300X
NJ42837207RP1001X
NY158015207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty