TRINITAS REGIONAL MEDICAL CENTER (NPI# 1104101740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104101740 |
| Entity Type | Organization |
| Organization Name | TRINITAS REGIONAL MEDICAL CENTER |
| Other Organization Name | TRINITAS REGIONAL MEDICAL CENTER PHYSICIANS PRACTICE ACCT ROSELLE PARK |
| Practice Address |
331 Chestnut St Roselle Park NJ 07204-1948 |
| Practice Telephone | 9082459444 |
| Practice Fax Number | 9082458826 |
| Mailing Telephone | 9082459444 |
| Mailing Fax Number | 9082458826 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |
| Authorized Official Name | THOMAS J. SAMPSON (PRACTICE MANAGER) |
| Authorized Official Telephone | 9082980579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MB02229300 | NJ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| TRINITAS REGIONAL MEDICAL CENTER PHYSICIANS PRACTICE ACCT ROSELLE PARK | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376020529 | Trinitas Regional Medical Center | Community/Behavioral Health | 597 Broadway, Bayonne, NJ 07002-3818 | 2018-07-20 |
| 1750794061 | Trinitas Regional Medical Center | Psychiatric Hospital | 119 E 13th St, Linden, NJ 07036-3314 | 2014-06-04 |
| 1114138757 | Trinitas Regional Medical Center | Psychiatric Unit | 655 Livingston Avenue, Trinitas Hiv Clinc, Elizabeth, NJ 07206 | 2007-05-25 |
| 1629165204 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E Jersey Street, Youth Case Management, Elizabeth, NJ 07206 | 2006-10-06 |
| 1184719312 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E. Jersey Street, Residential Services, Elizabeth, NJ 07206 | 2006-10-04 |
| 1952301178 | Trinitas Regional Medical Center | Clinic/Center | 10 N Wood Ave, Suite G, Linden, NJ 07036-5200 | 2005-07-29 |
| 1750381976 | Trinitas Regional Medical Center | General Acute Care Hospital | 65 Jefferson Ave, 2nd Floor, Elizabeth, NJ 07201-2474 | 2005-07-29 |
| 1134129802 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2005-07-26 |
| 1518423698 | Trinitas Regional Medical Center | Clinic/Center | 205 Birchwood Ave, Cranford, NJ 07016-2515 | 2019-02-14 |
| 1386128833 | Trinitas Regional Medical Center | Community/Behavioral Health | 597 Broadway, Bayonne, NJ 07002-3818 | 2018-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRINITAS REGIONAL MEDICAL CENTER | 225 Williamson St, Elizabeth, NJ 07202-3625 |
| Street Address |
331 CHESTNUT ST |
| City | ROSELLE PARK |
| State | NJ |
| Zip Code | 07204-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720415706 | Linden Medical Associates Md PC | Family Medicine | 331 Chestnut St, Roselle Park, NJ 07204-1948 | 2013-10-04 |
| 1851455489 | The New Center Inc. | Social Worker | 331 Chestnut St, 2, Roselle Park, NJ 07204-1948 | 2006-12-20 |
| 1134289150 | Anna Endress | Social Worker | 331 Chestnut St, Roselle Park, NJ 07204-1948 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609234160 | Jennifer Estela-stollwerck | Nurse Practitioner | 744 Galloping Hill Road, Roselle Park, NJ 07204 | 2016-01-29 |
| 1245668805 | Kristin M Sonneborn | Physical Therapist | 430 East Westfield Avenue Case Plus Rehab, Roselle Park, NJ 07204 | 2013-10-17 |
| 1366785115 | Jeffrey Adam Shrensel | Internal Medicine | 318 East Westfield Avenue, Roselle Park, NJ 07204 | 2013-03-30 |
| 1972760734 | Mailyn Sanchez Malabanan | Physical Therapy Assistant | 820 Elm Street, Roselle Park, NJ 07204 | 2008-05-20 |
| 1376746362 | Diego Alberto Herrera Figueira | Orthopaedic Surgery | 236 E Westfield Avenue, Suite 203, Roselle Park, NJ 07204 | 2007-06-07 |
| 1245384916 | Senior Spirit of Roselle Park | Clinic/Center | 430 East Westfield Avenue, Roselle Park, NJ 07204 | 2007-01-22 |
| 1366592040 | Norman J. Schwartz, Dmd, Pa | Dentist | 14 East Westfield Ave, Roselle Park, NJ 07204 | 2007-01-12 |
| 1437226495 | Garden State Dental Associates, LLC | Dentist | 236 East Westfield Avenue, Roselle Park, NJ 07204 | 2006-11-28 |
| 1851311674 | Stephen D Parker | Family Medicine | 331 Chestnut Street, Roselle Park, NJ 07204 | 2006-07-21 |
| 1447205067 | Gerald West | Otolaryngology | 505 Chestnut Street, Roselle Park, NJ 07204 | 2006-05-23 |
| Find all providers in zip 07204 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851311674 | Stephen D Parker | Family Medicine | 331 Chestnut Street, Roselle Park, NJ 07204 | 2006-07-21 |
| 1033186739 | Michele Morandi | Family Medicine | 744 Galloping Hill Rd, Suite 1, Roselle Park, NJ 07204-1700 | 2006-03-02 |
| 1720415706 | Linden Medical Associates Md PC | Family Medicine | 331 Chestnut St, Roselle Park, NJ 07204-1948 | 2013-10-04 |
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| 1023615168 | Well Health Medical Practice | Family Medicine | 676 Amboy Ave Ste 4, Woodbridge, NJ 07095-3144 | 2020-10-01 |
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| 1972127629 | Alysha Marengo | Family Medicine | 326 Pine St, Pompton Lakes, NJ 07442-1617 | 2020-05-28 |
| 1790308583 | Iz Medical LLC | Family Medicine | 250 Moonachie Rd, Moonachie, NJ 07074-1378 | 2020-05-27 |
| 1629691241 | Wayne R Schneider,m.d.,llc | Family Medicine | 56 Tuckahoe Rd, Marmora, NJ 08223-1206 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | ROSELLE PARK |
| Zip Code | 07204 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.