ST MARY'S HOSPITAL (NPI# 1659546729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659546729 |
| Entity Type | Organization |
| Organization Name | ST MARY'S HOSPITAL |
| Practice Address |
350 Boulevard Passaic NJ 07055-2840 |
| Mailing Address |
350 Boulevard Passaic NJ 07055 |
| Practice Telephone | 9734703012 |
| Mailing Telephone | 9735947836 |
| Mailing Fax Number | 9733654545 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2009-03-26 |
| Authorized Official Name | MR. THOMAS RANUCCI (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 9735947836 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST MARY'S HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146N00000X | Emergency Medical Technician, Basic | Emergency Medical Service Providers | ||
| Y | 282N00000X | General Acute Care Hospital | FACILITY#11606 | NJ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4135300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912368432 | St Mary's Hospital | General Acute Care Hospital | 427 Guy Park Ave, Amsterdam, NY 12010-1054 | 2016-03-10 |
| 1245642669 | St Mary's Hospital | Psychiatric Hospital | 350 Main Ave, Passaic, NJ 07055 | 2014-05-21 |
| 1972872992 | St Mary's Hospital | General Acute Care Hospital | 2233 W Division, Chicago, IL 60622 | 2011-12-20 |
| 1053578567 | St Mary's Hospital | General Acute Care Hospital | 56 Franklin St, Waterbury, CT 06706-1253 | 2008-05-21 |
| 1174662498 | St Mary's Hospital | Skilled Nursing Facility | 2901 216th St, Bayside, NY 11360-2810 | 2007-02-05 |
| 1114080546 | St Mary's Hospital | Skilled Nursing Facility | 2901 216th St, Bayside, NY 11360-2810 | 2006-12-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST MARY'S HOSPITAL FOR CHILDREN, INC. | 2901 216th St, Bayside, NY 11360-2810 |
| System for Award Management (SAM) Entities | ST MARY'S HOSPITAL MEDICAL CENTER | 700 S Park St, Madison, WI 53715-1849 |
| System for Award Management (SAM) Entities | ST MARY'S HOSPITAL OF SUPERIOR | 3500 Tower Ave, Superior, WI 54880-5335 |
| Street Address |
350 BOULEVARD |
| City | PASSAIC |
| State | NJ |
| Zip Code | 07055-2840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031370 | Nena L Sy | Specialist | 350 Boulevard, Passaic, NJ 07055-2840 | 2005-05-23 |
| 1851908297 | Capital Anesthesia Solutions of New Jersey, LLC | Nurse Anesthetist, Certified Registered | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-09-29 |
| 1144846130 | Jonathan Engelhardt | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-06-25 |
| 1053937045 | Abshan Malik | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-06-25 |
| 1154950053 | Jeffrey Alan Kantor | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-04-03 |
| 1831722586 | Prime Healthcare Services - St. Mary's Passaic LLC | Psychiatric Unit | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-02-20 |
| 1609415231 | Jane Lee | Specialist/Technologist, Other | 350 Boulevard, Passaic, NJ 07055-2840 | 2019-12-30 |
| 1386208874 | Christopher Andrew Bergen | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2019-04-30 |
| 1962066076 | Kenny Luong | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2019-04-24 |
| 1336625425 | Inhospital Physicians Corp of New Jersey, PC | Internal Medicine | 350 Boulevard, Passaic, NJ 07055-2840 | 2018-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300410 | Nilsy Munoz | Counselor | Revelation University Wellness Unit, 307 Monroe St #4, Passaic, NJ 07055 | 2019-11-14 |
| 1093206880 | Capitol Chiropractic and Rehabilitation | Clinic/Center | 15 Howe Ave., 2nd Floor, Passaic, NJ 07055 | 2018-05-29 |
| 1336665827 | 110 Van Houten LLC | Pharmacy | 110 Van Houten Ave, Passaic, NJ 07055 | 2017-08-17 |
| 1528584380 | Lpcnj, LLC | Community/Behavioral Health | 129 Prospect Street, 2nd Floor, Passaic, NJ 07055 | 2017-08-14 |
| 1255851572 | Chana Risa Twersky | Specialist | 164 Ascension St, Passaic, NJ 07055 | 2017-06-27 |
| 1144750241 | Chana Gittel Lemberger | Behavioral Analyst | 277 Pennington Ave, Passaic, NJ 07055 | 2017-06-13 |
| 1205377025 | Glendolin Grant | Massage Therapist | 105 Van Buren St, Passaic, NJ 07055 | 2017-03-13 |
| 1760924310 | Hadassah Selengut | Speech-Language Pathologist | 254 Pennington Ave, Passaic, NJ 07055 | 2016-11-14 |
| 1992180376 | Massiel Parra | Dentist | 625 Main Avenue, Passaic, NJ 07055 | 2015-07-27 |
| 1306240270 | Passaic Pediatrics II Pa | Specialist | 93 Market Street, Passaic, NJ 07055 | 2014-10-21 |
| Find all providers in zip 07055 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437698313 | Saint Mary's Passaic LLC | General Acute Care Hospital | 350 Boulevard, Passaic, NJ 07055-2840 | 2017-02-13 |
| 1770901761 | Prime Healthcare Services - St. Mary's Passaic LLC | General Acute Care Hospital | 350 Boulevard, Passaic, NJ 07055-2840 | 2014-04-07 |
| 1205981552 | St. Mary's Hospital | General Acute Care Hospital | 211 Pennington Ave, Passaic, NJ 07055-4617 | 2007-01-25 |
| 1023163375 | St. Mary's Hospital | General Acute Care Hospital | 211 Pennington Ave, Passaic, NJ 07055-4617 | 2007-01-25 |
| 1164528634 | Beth Israel Hospital Association | General Acute Care Hospital | 350 Boulevard, Passaic, NJ 07055-2840 | 2006-09-15 |
| 1689681538 | Rekha Anand Kumar | General Acute Care Hospital | 350 Boulevard, Passaic, NJ 07055-2840 | 2006-08-02 |
| 1699748996 | St Marys Hospital | General Acute Care Hospital | 350 Boulevard, Passaic, NJ 07055-2840 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366097032 | Inspira Medical Centers, Inc. | General Acute Care Hospital | 700 Mullica Hill Rd, Mullica Hill, NJ 08062-4413 | 2019-08-08 |
| 1760989156 | Amerimed Hospital of Mexico LLC | General Acute Care Hospital | 50c Us Highway 9, Morganville, NJ 07751-1526 | 2018-04-11 |
| 1730620428 | Jersey City Medical Center-rwj Barnabas Health | General Acute Care Hospital | 395 Grand Street 3rd Floor, Jersey City, NJ 07302 | 2017-03-14 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| 1760927206 | Cooper Health System | General Acute Care Hospital | 3 Cooper Plaza., Suite 300, Camden, NJ 08103 | 2016-12-19 |
| 1205370921 | Saint Peters University Hospital | General Acute Care Hospital | 30 S Adelaide Ave, Apt Phb, Highland Park, NJ 08904-1606 | 2016-12-14 |
| 1487007589 | Lincoln Medical Center | General Acute Care Hospital | 567 Spruce Ln, Franklin Lakes, NJ 07417-2418 | 2016-07-13 |
| 1770934028 | Edgar Lachica | General Acute Care Hospital | 249 Quaker Church Rd, Randolph, NJ 07869-1415 | 2016-06-28 |
| 1336593649 | Mohammed Nasser Salem | General Acute Care Hospital | 38 Divan Way, Wayne, NJ 07470-5229 | 2016-04-22 |
| 1538521489 | Galenia Hospital of Mexico | General Acute Care Hospital | 50 Route 9 N Bldg B, Morganville, NJ 07751-1574 | 2016-03-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ST MARY'S HOSPITAL.
| 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.