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NPI Code Detail

MEDICARE: ST. JOSEPH HOSPITAL AND MEDICAL CENTER

MEDICARE: ST. JOSEPH 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
1261QD0000XDental Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14136403OTHERNJNJHCAP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32117814OTHERNJDELTA DENTAL
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871574731
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. JOSEPH HOSPITAL AND MEDICAL CENTER
Provider Business Mailing Address
First Line : 21 MARKET ST
Second Line :
City : PATERSON
State : NJ
Zip : 07501-1723
Country : US
Telephone Number : 973-754-4250
Fax Number : 973-754-4259
Provider Business Practice Location Address
First Line : 21 MARKET ST
Second Line :
City : PATERSON
State : NJ
Zip : 07501-1723
Country : US
Telephone Number : 973-754-4250
Fax Number : 973-754-4259
Authorized Official
Title or Position : OFFICE MANAGER
Name : DIONNE C. PIERCE
Credential :
Telephone Number : 973-754-4250
Provider Enumeration Date : 11/08/2005
Last Update Date : 03/31/2021

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1134197395 — EVELYN W WHITE MD
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1457314346 — DR. CARMEN ROSA MALLAMACI M.D.
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1538125190 — DR. MANUEL T. SEE MD
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1871559088 — DR. NANDINI GADGIL MD
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1407813355 — DR. IRINA A KHEYFETS
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Directions to “ST. JOSEPH HOSPITAL AND MEDICAL CENTER ” Practice Location

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