Provider Demographics
NPI:1770546020
Name:MATHENY SCHOOL AND HOSPITAL,INC.
Entity type:Organization
Organization Name:MATHENY SCHOOL AND HOSPITAL,INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARBA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-234-0011
Mailing Address - Street 1:PO BOX 339
Mailing Address - Street 2:
Mailing Address - City:PEAPACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07977
Mailing Address - Country:US
Mailing Address - Phone:908-234-0011
Mailing Address - Fax:908-234-9496
Practice Address - Street 1:65 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:PEAPACK
Practice Address - State:NJ
Practice Address - Zip Code:07977
Practice Address - Country:US
Practice Address - Phone:908-234-0011
Practice Address - Fax:908-234-9496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-08
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA0600X
NJ21801284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4143001Medicaid
NJ4143001Medicaid