Basic Information
| Provider Information | |||||||||
| NPI: | 1265811814 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARNUM | ||||||||
| FirstName: | APRIL | ||||||||
| MiddleName: | LYNN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 DIAMOND HILL RD | ||||||||
| Address2: | |||||||||
| City: | BERKELEY HEIGHTS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079222104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9082734300 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 295 N FRANKLIN TPKE | ||||||||
| Address2: | |||||||||
| City: | RAMSEY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 074462823 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5514975679 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2015 | ||||||||
| LastUpdateDate: | 08/05/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/05/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QS0010X | OS019497 | PA | N | Allopathic & Osteopathic Physicians | Family Medicine | Sports Medicine | 207QS0010X | 20A17346 | CA | N | Allopathic & Osteopathic Physicians | Family Medicine | Sports Medicine | 207QS0010X | 25MB10850000 | NJ | Y | Allopathic & Osteopathic Physicians | Family Medicine | Sports Medicine |
No ID Information.