Active NPIIndividual providerSole proprietor

Dr. Barry E Dibernardo, MD, PC

Surgery, Plastic and Reconstructive Surgery in Montclair, New Jersey

NPI Number1164599262
Practice location
29 Park St, Montclair, NJ 07042-3407
Fax
973-655-1228
Last updated
November 9, 2007

Barry E Dibernardo is a Surgery, Plastic and Reconstructive Surgery based in Montclair, NJ. Barry E Dibernardo practices in Montclair, NJ and has the professional credentials of MD, PC. The NPI Number for Barry E Dibernardo is 1164599262 and holds a License No. 25Ma05590900 (NJ). The current practice location address for Barry E Dibernardo is 29 Park St, Montclair, NJ 07042-3407 and can be reached out via phone at 973-509-2000 and via fax at 973-655-1228.

Provider Profile Details

NPI Number
1164599262
Provider Name
Barry E Dibernardo
Credential
MD, PC
Provider Entity Type
Individual
Gender
Male
Address
29 Park St, Montclair, NJ 07042-3407
Phone Number
973-509-2000
Fax Number
973-655-1228
Primary Taxonomy
Surgery, Plastic and Reconstructive Surgery · 2086S0122X
Sole Proprietor
Yes
Provider Enumeration Date
November 30, 2006
Last Update Date
November 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Park St
Montclair, NJ 07042-3407
Zip
07042-3407
Phone Number
973-509-2000
Fax Number
973-655-1228
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
29 Park St
Montclair, NJ 07042-3407
City
Montclair
State
NJ
Zip
07042-3407
Phone Number
973-509-2000
Fax Number
973-655-1228

License Information

License Number
25Ma05590900
License State
NJ
Taxonomy
Surgery, Plastic and Reconstructive Surgery · 2086S0122X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Barry E Dibernardo, MD, PC?

The NPI number of Dr. Barry E Dibernardo, MD, PC is 1164599262. It was assigned on November 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Barry E Dibernardo, MD, PC?

Dr. Barry E Dibernardo, MD, PC is registered under the primary taxonomy Surgery, Plastic and Reconstructive Surgery (code 2086S0122X), licensed in NJ under license number 25Ma05590900.

Where does Dr. Barry E Dibernardo, MD, PC practice?

The practice location is 29 Park St, Montclair, NJ 07042-3407. The office can be reached at 973-509-2000 (phone) or 973-655-1228 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164599262 directly on the NPPES registry website.

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