Organization · NPI-2
Barnabas Health Medical Group, PC
Preventive Medicine, Addiction Medicine · Livingston, NJ
NPI number1053160713
StatusActive
Last updated in NPPESOct 15, 2025
Details
- NPI
- 1053160713
- Entity type
- Organization (NPI-2)
- Legal business name
- Barnabas Health Medical Group, PC
- Organization subpart
- No
- Enumeration date
- May 15, 2024
- Certification date
- Oct 15, 2025
- Last updated
- Oct 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083A0300X | Preventive Medicine, Addiction Medicine | – | – | Yes |
| 103TA0400X | Psychologist, Addiction (Substance Use Disorder) | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
94 Old Short Hills RdLivingston, NJ 07039-5672
Phone 973-322-5000
Mailing address
379 Campus Dr Fl 4Somerset, NJ 08873-1161
Phone 848-336-1789
Authorized official
Ruric (Andy) Clesby Anderson
MD
4833617898
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