Active NPIIndividual provider

Mr. Jim Dela Barerra

Technician/Technologist, Optician in Bloomfield, New Jersey

NPI Number1609064583
Practice location
1083 Broad St, Bloomfield, NJ 07003-2918
Fax
973-338-1717
Last updated
October 4, 2007

Jim Dela Barerra is a Technician/Technologist, Optician based in Bloomfield, NJ. Jim Dela Barerra practices in Bloomfield, NJ. The NPI Number for Jim Dela Barerra is 1609064583 and holds a License No. D3037 (NJ). The current practice location address for Jim Dela Barerra is 1083 Broad St, Bloomfield, NJ 07003-2918 and can be reached out via phone at 973-338-1717 and via fax at 973-338-1717.

Provider Profile Details

NPI Number
1609064583
Provider Name
Jim Dela Barerra
Provider Entity Type
Individual
Gender
Male
Address
1083 Broad St, Bloomfield, NJ 07003-2918
Phone Number
973-338-1717
Fax Number
973-338-1717
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
No
Provider Enumeration Date
October 4, 2007
Last Update Date
October 4, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1083 Broad St
Bloomfield, NJ 07003-2918
Zip
07003-2918
Phone Number
973-338-1717
Fax Number
973-338-1717
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
1083 Broad St
Bloomfield, NJ 07003-2918
City
Bloomfield
State
NJ
Zip
07003-2918
Phone Number
973-338-1717
Fax Number
973-338-1717

License Information

License Number
D3037
License State
NJ
Taxonomy
Technician/Technologist, Optician · 156FX1800X · 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 Mr. Jim Dela Barerra?

The NPI number of Mr. Jim Dela Barerra is 1609064583. It was assigned on October 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Jim Dela Barerra?

Mr. Jim Dela Barerra is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in NJ under license number D3037.

Where does Mr. Jim Dela Barerra practice?

The practice location is 1083 Broad St, Bloomfield, NJ 07003-2918. The office can be reached at 973-338-1717 (phone) or 973-338-1717 (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 1609064583 directly on the NPPES registry website.

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