DR. BARRY R. MULLEN DPM, NPI 1396748281 — HACKETTSTOWN (NJ)

NPI 1396748281

14+ Years Experience Individual

DR. BARRY R. MULLEN DPM

05/24/2005
PROVIDER ENUMERATION DATE
07.08.2007
LAST UPDATE DATE
1396748281
NPI NUMBER

About DR. BARRY R. MULLEN

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

DR. BARRY R. MULLEN is a provider established in HACKETTSTOWN, NJ. The NPI number of DR. BARRY R. MULLEN is 1396748281 and was assigned on 05/24/2005. The practitioners primary taxonomy code is: 213EP1101X with license number: 25MD00134700 NJ .

Mailing address

  • City: HACKETTSTOWN
  • State: NJ
  • Postal code: 78404001
  • Phone: 9088520229
  • Fax: 9088521076
  • Address: 488 SCHOOLEYS MOUNTAIN RD
  • Address 2: HASTINGS COMMONS 1B

Primary Practice Address

  • Region : HACKETTSTOWN, NJ
  • NPI : 1396748281
  • Phone : 9088520229
  • Fax : 9088521076
  • Postalcode : 78404001
  • Address : 488 SCHOOLEYS MOUNTAIN RD HASTINGS COMMONS 1B

Provider taxonomy - Podiatrist

  • Taxonomy code: 213EP1101X
  • License number: 25MD00134700
  • License state: NJ

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

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  • DR. BARRY R. MULLEN DPM
  • Address : 488 SCHOOLEYS MOUNTAIN RD HASTINGS COMMONS 1B
  • Region : HACKETTSTOWN, NJ
  • NPI : 1396748281
  • Phone : 9088520229
  • Fax : 9088521076
  • Postalcode : 78404001

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address488 SCHOOLEYS MOUNTAIN RD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressHASTINGS COMMONS 1B
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameHACKETTSTOWN
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNJ
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code78404001
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number9088520229
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number9088521076
The fax number associated with the location address of the provider being identified.
NPI1396748281
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1213EP1101X
Provider Enumeration Date05/24/2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.08.2007
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DR. BARRY R. MULLEN
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address488 SCHOOLEYS MOUNTAIN RD
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressHASTINGS COMMONS 1B
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameHACKETTSTOWN
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNJ
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code78404001
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number9088520229
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number9088521076
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1213EP1101X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Podiatrist
Provider License Number 125MD00134700
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1NJ
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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