Provider Demographics
NPI:1265554760
Name:ARNOLD S BACARRO MD PA
Entity type:Organization
Organization Name:ARNOLD S BACARRO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:SAGUIN
Authorized Official - Last Name:BACARRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-625-4430
Mailing Address - Street 1:5429 HARDING HWY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-2263
Mailing Address - Country:US
Mailing Address - Phone:609-625-4430
Mailing Address - Fax:609-625-4436
Practice Address - Street 1:5429 HARDING HWY
Practice Address - Street 2:SUITE 301
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-2263
Practice Address - Country:US
Practice Address - Phone:609-625-4430
Practice Address - Fax:609-625-4436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06598400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ116200100OtherUS DEPT. OF LABOR OWC
NJ5276867OtherCIGNA
NJ2105003OtherAETNA
NJ2509993OtherGHI
NJ7474105Medicaid
NJP793188OtherOXFORD
NJ1147468OtherHORIZON NJ HEALTH
NJ953393OtherINDEPENDENCE BLUE CROSS
NJ80770OtherHEALTH PARTNERS
NJ110226621OtherRAILROAD MEDICARE
NJ1K7979OtherHEALTHNET
NJ77422OtherOPERATING ENGRS LOCAL 825
NJ0869899001OtherAMERIHEALTH
NJ0869899002OtherAMERIHEALTH
NJ7474105Medicaid
NJ0869899001OtherAMERIHEALTH
NJ1K7979OtherHEALTHNET