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NPI Code Detail

MEDICARE: ST JOSEPHS HOSPITAL AND MEDICAL CENTER

MEDICARE: ST JOSEPHS HOSPITAL AND MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center22344NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437149325
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST JOSEPHS HOSPITAL AND MEDICAL CENTER
Provider Business Mailing Address
First Line : 703 MAIN ST
Second Line :
City : PATERSON
State : NJ
Zip : 07503-2621
Country : US
Telephone Number : 973-754-2000
Fax Number : 973-754-2149
Provider Business Practice Location Address
First Line : 57 WILLOWBROOK BLVD
Second Line :
City : WAYNE
State : NJ
Zip : 07470-7045
Country : US
Telephone Number : 973-754-4048
Fax Number : 973-754-4049
Authorized Official
Title or Position : CONTROLLER
Name : MS. JOANNE DUNAY
Credential :
Telephone Number : 973-754-2016
Provider Enumeration Date : 10/24/2005
Last Update Date : 03/31/2021

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Directions to “ST JOSEPHS HOSPITAL AND MEDICAL CENTER ” Practice Location

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