Organization
BARNABAS HEALTH MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MITCHELL (DIRECTOR OF CREDENTIALING)
(732) 867-9618
Entity
Organization
Contact information
Practice address
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1008
(973) 322-4921
(732) 557-7109
Mailing address
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1008
(732) 557-7119
(732) 557-7109
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3006808
—
NJ
Enumeration date
05/25/2006
Last updated
10/15/2025
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