Provider Demographics
NPI:1295950061
Name:BARBERIO, JUDITH ANN (PHD, RN, APN,C)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:ANN
Last Name:BARBERIO
Suffix:
Gender:F
Credentials:PHD, RN, APN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HAYTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NJ
Mailing Address - Zip Code:08833-4009
Mailing Address - Country:US
Mailing Address - Phone:908-287-1188
Mailing Address - Fax:908-287-1189
Practice Address - Street 1:7 HAYTOWN RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NJ
Practice Address - Zip Code:08833-4009
Practice Address - Country:US
Practice Address - Phone:908-287-1188
Practice Address - Fax:908-287-1189
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN05024500363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6975305Medicaid
NJ014687-MH-3Medicare ID - Type Unspecified
NJ6975305Medicaid