FORREST S. CHILTON 3RD MEMORIAL HOSPITAL ASSOCIATION (NPI# 1902940901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902940901 |
| Entity Type | Organization |
| Organization Name | FORREST S. CHILTON 3RD MEMORIAL HOSPITAL ASSOCIATION |
| Other Organization Name | CHILTON MEMORIAL HOSPITAL |
| Practice Address |
97 West Parkway Pompton Plains NJ 07444-1647 |
| Practice Telephone | 9738315202 |
| Practice Fax Number | 9738315493 |
| Mailing Telephone | 9738315202 |
| Mailing Fax Number | 9738315493 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-07-09 |
| Authorized Official Name | MR. MICHAEL A RICHETTI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9738315202 |
| Authorized Official Credential | C.P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | FACILITY 11401 | NJ | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4136225 | 05 |
| Other Name | Type Code |
|---|---|
| Chilton Memorial Hospital | Other Name - Individual/Organization |
| Street Address |
97 WEST PARKWAY |
| City | POMPTON PLAINS |
| State | NJ |
| Zip Code | 07444-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994809 | Ahs Hospital Corp. | General Acute Care Hospital | 97 West Parkway, Pompton Plains, NJ 07444-1647 | 2005-07-05 |
| 1730663162 | Andrea Simone Curtis | Social Worker | 97 West Parkway, Crisis Intervention, Pompton Plains, NJ 07444 | 2018-09-21 |
| 1154804136 | Lisa Marie Voelzke | Counselor | 97 West Parkway, Crisis Intervention, Pompton Plains, NJ 07444 | 2018-09-14 |
| 1124508817 | Gian Giannella | Social Worker | 97 West Parkway, Pompton Plains, NJ 07444 | 2018-08-21 |
| 1689962250 | Lindsay Anne Van Pelt | Emergency Medicine | 97 West Parkway, Pompton Plains, NJ 07444 | 2011-07-18 |
| 1427387356 | Chilton In Hospital Based Physicians LLC | Specialist | 97 West Parkway, Pompton Plains, NJ 07444 | 2009-12-24 |
| 1669503405 | Elizabeth Anne Lesnevich | Dietitian, Registered | 97 West Parkway, Pompton Plains, NJ 07444-1647 | 2007-03-07 |
| 1124167879 | Mamatha Reddy Gadarla | Internal Medicine | 97 West Parkway, Pompton Plains, NJ 07444-3459 | 2007-02-06 |
| 1033256664 | Chilton Professional Practice Corporation | Obstetrics & Gynecology | 97 West Parkway, Pompton Plains, NJ 07444-1647 | 2007-01-31 |
| 1699733915 | Sungdo Park | Emergency Medicine | 97 West Parkway, Chilton Memorial Hospital, Pompton Plains, NJ 07444 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407383144 | Kaitlin Vanderhoff | Social Worker | 193 Mountain Avenue, Pompton Plains, NJ 07444 | 2017-05-12 |
| 1285026872 | Mckeever Dental Care | Dentist | 933 Rt 23, Pompton Plains, NJ 07444 | 2015-02-19 |
| 1164609277 | Mary Milbank Bodenstein | Social Worker | 640 Newark Pompton Turnpike, Pompton Plains, NJ 07444 | 2008-01-31 |
| 1548470115 | Roger R. Hancox | Counselor | 142 Route 23 North, Pompton Plains, NJ 07444 | 2007-05-23 |
| 1215147772 | Joanne Roach Stickles | Counselor | 933 Route 23 South, Suite 10, Pompton Plains, NJ 07444 | 2007-05-23 |
| 1366584583 | Gleb Koslov | Chiropractor | 933 Route 23, Pequannock, NJ 07444 | 2007-02-13 |
| 1730245556 | Ykr Orthopedics | Specialist | 901 State Route 23 South, Floor 2, Pompton Plains, NJ 07444 | 2006-12-28 |
| 1548328362 | Violeta Trajkovska | Optometrist | 500 Rt 23 North, Pompton Plains, NJ 07444 | 2006-12-05 |
| 1245308097 | L Michelle Borden | Social Worker | 21 Evans Place, Pompton Plains, NJ 07444 | 2006-12-01 |
| 1952487837 | John Liaci Sr. | Chiropractor | 381 Route 23 South, Pompton Plains, NJ 07444 | 2006-10-31 |
| Find all providers in zip 07444 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376024075 | Rwj Barnabashealth - Jersey City Medical Center | Psychiatric Unit | 1805 Jfk Blvd, Jersey City, NJ 07302 | 2018-08-22 |
| 1053574368 | Princeton House Behavioral Health | Psychiatric Unit | 375 North Kings Highway, Cherry Hill, NJ 08034-1013 | 2008-07-07 |
| 1114138757 | Trinitas Regional Medical Center | Psychiatric Unit | 655 Livingston Avenue, Trinitas Hiv Clinc, Elizabeth, NJ 07206 | 2007-05-25 |
| 1285630087 | Virtua Willingboro Hospital, Inc. | Psychiatric Unit | 218a Sunset Road, Willingboro, NJ 08046-1110 | 2005-06-27 |
| 1790789212 | Ahs Hospital Corp | Psychiatric Unit | 175 High St, Newton, NJ 07860-1004 | 2005-06-13 |
| 1831722586 | Prime Healthcare Services - St. Mary's Passaic LLC | Psychiatric Unit | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-02-20 |
| 1932747326 | Inspira Medical Centers, Inc. | Psychiatric Unit | 509 N Broad St, Woodbury, NJ 08096-1617 | 2019-12-16 |
| 1053894022 | Hmh Hospitals Corporation | Psychiatric Unit | 1945 Route 33, Neptune, NJ 07753-4859 | 2018-09-14 |
| 1174035604 | Ahs Hospital Corp. | Psychiatric Unit | 175 High St, Newton, NJ 07860-1004 | 2017-10-24 |
| 1790225761 | Meridian Hospitals | Psychiatric Unit | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2017-02-24 |
| Find all providers with the same taxonomy | ||||
| City | POMPTON PLAINS |
| Zip Code | 07444 |
Please comment or provide details below to improve the information on FORREST S. CHILTON 3RD MEMORIAL HOSPITAL ASSOCIATION.
| 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.