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ST. JOSEPH'S HOSPITAL & MEDICAL CENTER NPI 1992911937


NPI Information

NPI: 1992911937
Provider Name: ST. JOSEPH'S HOSPITAL & MEDICAL CENTER

Other Name: ST. JOSEPH'S REGIONAL MEDICAL CENTER

Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Organization

CLIA Number: 31D2216093

Address:
1135 BROAD ST
SUITE # 201
CLIFTON, NJ
ZIP 07013
Phone: (973) 754-4100
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ST. JOSEPH'S HOSPITAL & MEDICAL CENTER is a student in an organized health care education training program in Clifton, NJ. The provider is 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. ST. JOSEPH'S HOSPITAL & MEDICAL CENTER NPI is 1992911937. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is St. Joseph's Regional Medical Center.

The provider's business location address is:

1135 BROAD ST
SUITE # 201
CLIFTON, NJ
ZIP 07013-346
Phone: (973) 754-4100
Fax: (973) 754-4191

The provider's authorized official is Michael M Delisi .
The authorized official title is Family Medicine Program Director and has the following contact phone number (973) 754-4121.

The CLIA number assigned to this NPI record is 31D2216093 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2007 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
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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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