| Organization Name: | ST BARNABAS MEDICAL CENTER |
| NPI Number: | 1336374354 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NURLELA GOUVEIA (STUDENT IN TRAINING) |
| Mailing Address: | 14 N Beverwyck Rd Apt # 3 Lake Hiawatha |
| State: | NJ US |
| Postal Code: | 070342517 |
| Phone Number: | 4055129406 |
| Fax Number: | |
| NPI Enumeration Date: | 05/19/2009 |
| NPI Last Update Date: | 05/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |