SAINT MICHAEL'S MEDICAL CENTER (NPI# 1710329917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710329917 |
| Entity Type | Organization |
| Organization Name | SAINT MICHAEL'S MEDICAL CENTER |
| Practice Address |
111 Central Ave Cardiology Dept. Fifth Floor Newark NJ 07102-1909 |
| Mailing Address |
16 River Rd Apt. K Nutley NJ 07110-3427 |
| Practice Telephone | 9738775061 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |
| Authorized Official Name | DAVID RICCI (CEO) |
| Authorized Official Telephone | 9738775000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281P00000X | Chronic Disease Hospital | 25MA09291600 | NJ | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932648722 | Saint Michael's Medical Center | General Acute Care Hospital | 111 Central Ave, Newark, NJ 07102-1909 | 2017-02-14 |
| 1740558832 | Saint Michael's Medical Center | Psychiatric Unit | 155 Jefferson St, Newark, NJ 07105-1706 | 2011-12-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAINT MICHAEL'S MEDICAL CENTER | 111 Central Ave, Newark, NJ 07102-1909 |
| Street Address |
111 CENTRAL AVE CARDIOLOGY DEPT. FIFTH FLOOR |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687806 | Sandhya R Makkapati | Specialist | 111 Central Ave, Newark, NJ 07102-1909 | 2005-05-23 |
| 1740892496 | Stella Monday Wangai | Nurse Practitioner | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-22 |
| 1144832932 | Sonya Wali | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-21 |
| 1023620358 | Chrystina Mildred Kiwan | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-18 |
| 1518579838 | Alicia Kovach | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-18 |
| 1861003659 | Riyashat Kazmi | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-13 |
| 1114537610 | Kalee Larsen | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-09 |
| 1215547567 | Nirav Patel | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-02 |
| 1720697238 | Sneha Bijoy | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-07-30 |
| 1407465891 | Ruhma Ali | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 281P00000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |
| Notes: Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821433228 | Christiana Care Health System | Chronic Disease Hospital | Christiana Care Health System, 4755 Ogletown-stanton Rd., Newark, DE 19718-0001 | 2013-04-30 |
| 1770622425 | Vera Hou | Chronic Disease Hospital | 201 Lyons Ave, Newark, NJ 07112-2027 | 2007-02-06 |
| 1396712956 | Newark Beth Israel Hospital | Chronic Disease Hospital | 201 Lyons Ave, Newark, NJ 07112-2027 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104227990 | St. Michaels Medical Center | Chronic Disease Hospital | 927 Ridgewood Rd, Millburn, NJ 07041-1441 | 2014-09-11 |
| 1952749913 | Hackensack University Medical Center | Chronic Disease Hospital | 118 Charlton Ave # B, Hasbrouck Heights, NJ 07604-1508 | 2013-06-11 |
| 1851683700 | Np Medical Care LLC | Chronic Disease Hospital | 288 Greenridge Rd, Franklin Lakes, NJ 07417-2012 | 2011-05-11 |
| 1679879845 | Nassau Univ Med Center | Chronic Disease Hospital | 156 Notch Rd, Clifton, NJ 07013-3236 | 2011-02-04 |
| 1295996247 | Dr. James F. Mcanally | Chronic Disease Hospital | 240 Williamson St Ste 307, Elizabeth, NJ 07202-3672 | 2008-06-23 |
| 1780029108 | Palisades Medical Center | Chronic Disease Hospital | 7600 River Rd, North Bergen, NJ 07047-6217 | 2013-04-30 |
| 1457696924 | William Strazzella Do LLC | Chronic Disease Hospital | 20 Hospital Dr, Suite 17 B, Toms River, NJ 08755-6434 | 2012-12-10 |
| 1881965671 | Family Medicine At Monument Square | Chronic Disease Hospital | 317 George St, New Brunswick, NJ 08901-2008 | 2012-01-25 |
| 1598052557 | John Harry Lagonikos | Chronic Disease Hospital | 601 Hamilton Ave, Trenton, NJ 08629-1915 | 2011-06-28 |
| 1598074957 | St. Joseph's Regional Medical Center | Chronic Disease Hospital | 1135 Broad St, Clifton, NJ 07013-3346 | 2010-10-04 |
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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.