Healthcare Provider Details

I. General information

NPI: 1184719312
Provider Name (Legal Business Name): TRINITAS REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/03/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

654 E. JERSEY STREET RESIDENTIAL SERVICES
ELIZABETH NJ
07206
US

IV. Provider business mailing address

225 WILLIAMSON STREET PHYSICIAN BILLING
ELIZABETH NJ
07202-3625
US

V. Phone/Fax

Practice location:
  • Phone: 908-994-5000
  • Fax:
Mailing address:
  • Phone: 908-994-5000
  • Fax: 908-994-8090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number12007
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number12007
License Number StateNJ

VIII. Authorized Official

Name: NANCY DILIEGRO
Title or Position: CEO/PRESIDENT
Credential:
Phone: 908-994-5000