INTERNAL MEDICINE FACULTY PRACTICE ASSOCIATES AT ST BARNABAS MED CTR
NPI 1114975257
Internal Medicine in West Orange, NJ

Active since May 04, 2006CLIA 31D0652872 · Waiver
101 OLD SHORT HILLS RD, SUITE 210, WEST ORANGE, NJ 07052(973) 322-6256(973) 322-6241 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Internal Medicine Faculty Practice Associates At St Barnabas Med Ctr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERNAL MEDICINE FACULTY PRACTICE ASSOCIATES AT ST BARNABAS MED CTR (NPI 1114975257) is a healthcare organization registered as an internal medicine in West Orange, New Jersey and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 5, 2027 and lists Patrick Ahearn, Director, as its authorized official.

NPPES Registry Identity

NPI1114975257
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE FACULTY PRACTICE ASSOCIATES AT ST BARNABAS MED CTR
Location Address101 OLD SHORT HILLS RD, SUITE 210West Orange, NJ 07052-1000
Mailing AddressPo Box 18313Newark, NJ 07191-8313 · (732) 557-7160 · Fax (732) 557-7109
Fax(973) 322-6241
Organization SubpartNo
Authorized OfficialPatrick AhearnDirector · (732) 557-7119
Enumeration DateMay 4, 2006
Last NPPES UpdateJanuary 28, 2008
NPI 1114975257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

101 OLD SHORT HILLS RD, West Orange, NJ 07052

Other Identifiers 2

Medicaid6462901NJ
Medicare ID-Type Unspecified644855NJ · Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0652872

Internal Medicine Faculty Practice · West Orange, NJ
Active · expires Apr 5, 2027
CLIA Number31D0652872
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorAnthony Carlino
Laboratory Phone(973) 322-6256
Laboratory LocationInternal Medicine Faculty Practice101 Old Short Hills Rd Suite 106, West Orange, NJ 07052
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
101 OLD SHORT HILLS RD, STE 518
WEST ORANGE, NJ 07052
Obstetrics & Gynecology (Gynecologic Oncology)
101 OLD SHORT HILLS RD, SUITE 400
WEST ORANGE, NJ 07052
Internal Medicine
101 OLD SHORT HILLS RD, SUITE 106
WEST ORANGE, NJ 07052
Nurse Practitioner (Acute Care)
101 OLD SHORT HILLS RD, SUITE 120
WEST ORANGE, NJ 07052
Surgery
101 OLD SHORT HILLS RD, SUITE 206
WEST ORANGE, NJ 07052
Obstetrics & Gynecology
101 OLD SHORT HILLS RD, SUITE 505
WEST ORANGE, NJ 07052
Internal Medicine (Gastroenterology)
101 OLD SHORT HILLS RD, SUITE 217
WEST ORANGE, NJ 07052
Plastic Surgery
101 OLD SHORT HILLS RD, SUITE 510
WEST ORANGE, NJ 07052

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114975257, enumerated as an "organization" on May 04, 2006.

The provider is located at 101 OLD SHORT HILLS RD SUITE 210 WEST ORANGE, NJ 07052 and the phone number is (973) 322-6256.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.