Healthcare Provider Details

I. General information

NPI: 1851530372
Provider Name (Legal Business Name): ST JOSEPHS HOSPITAL AND MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2009
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 RICHFIELD TER A
CLIFTON NJ
07012-1324
US

IV. Provider business mailing address

120 RICHFIELD TER A
CLIFTON NJ
07012-1324
US

V. Phone/Fax

Practice location:
  • Phone: 718-683-1844
  • Fax: 973-754-2546
Mailing address:
  • Phone: 718-683-1844
  • Fax: 973-754-2546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number
License Number State

VIII. Authorized Official

Name: MRS. NEELAM THAPA
Title or Position: M.D
Credential:
Phone: 718-683-1844