Healthcare Provider Details

I. General information

NPI: 1164649257
Provider Name (Legal Business Name): ATLANTIC HEALTH, MORRISTOWN MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MADISON AVE # 88
MORRISTOWN NJ
07960-6136
US

IV. Provider business mailing address

100 MADISON AVE # 88
MORRISTOWN NJ
07960-6136
US

V. Phone/Fax

Practice location:
  • Phone: 973-971-4105
  • Fax: 973-290-7070
Mailing address:
  • Phone: 973-971-4105
  • Fax: 973-290-7070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number25MP00111000
License Number StateNJ

VIII. Authorized Official

Name: DR. ROLANDO H ROLANDELLI
Title or Position: CHAIRMAN OF THE DEPT OF SURGERY
Credential: MD
Phone: 973-971-4105