ST JOSEPHS HOSPITAL AND MEDICAL CENTER NPI 1164412573

NPI Information

NPI: 1164412573
Provider Name: ST JOSEPHS HOSPITAL AND MEDICAL CENTER

Doing Business As: ST JOSEPHS REGIONAL MEDICAL CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 31D2037028

Address:
11 GETTY AVE
PATERSON, NJ
ZIP 07503
Phone: (973) 569-6400
Get Directions

ST JOSEPHS HOSPITAL AND MEDICAL CENTER is an end-stage renal disease (esrd) treatment clinic center in Paterson, NJ. ST JOSEPHS HOSPITAL AND MEDICAL CENTER NPI is 1164412573. The provider is registered as an organization entity type.
The provider Is Doing Business As St Josephs Regional Medical Center.

The provider's business location address is:

11 GETTY AVE
PATERSON, NJ
ZIP 07503-806
Phone: (973) 569-6400
Fax: (973) 569-6401

The provider's authorized official is Joanne Dunay .
The authorized official title is Controller and has the following contact phone number (973) 754-2016.

The CLIA number assigned to this NPI record is 31D2037028 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2005 and was last updated on 3/31/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	11605	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4136403	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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