# INTERNAL MEDICINE FACULTY PRACTICE ASSOCIATES AT ST BARNABAS MED CTR

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114975257
- **Authorized official:** MR. PATRICK AHEARN (DIRECTOR)
- **Authorized official phone:** (732) 557-7119

## Contact information

- **Practice address:** 101 OLD SHORT HILLS RD, SUITE 210, WEST ORANGE, NJ 07052-1000
- **Practice address phone:** (973) 322-6256
- **Practice address fax:** (973) 322-6241
- **Mailing address:** PO BOX 18313, NEWARK, NJ 07191-8313
- **Mailing address phone:** (732) 557-7160
- **Mailing address fax:** (732) 557-7109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 01/28/2008