Provider Demographics
NPI:1720447154
Name:BARNO, DARREN
Entity Type:Individual
Prefix:
First Name:DARREN
Middle Name:
Last Name:BARNO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 ROBINS ST
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07203-1845
Mailing Address - Country:US
Mailing Address - Phone:908-397-5720
Mailing Address - Fax:908-620-1880
Practice Address - Street 1:470 ROBINS ST
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:NJ
Practice Address - Zip Code:07203-1845
Practice Address - Country:US
Practice Address - Phone:908-397-5720
Practice Address - Fax:908-620-1880
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ463-470-070261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)