Healthcare Provider Details

I. General information

NPI: 1306377569
Provider Name (Legal Business Name): THE VALLEY HOSPITAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 VALLEY HEALTH PLZ
PARAMUS NJ
07652-3619
US

IV. Provider business mailing address

223 N VAN DIEN AVE
RIDGEWOOD NJ
07450-2726
US

V. Phone/Fax

Practice location:
  • Phone: 201-447-8434
  • Fax: 201-389-0818
Mailing address:
  • Phone: 201-447-8434
  • Fax: 201-389-0818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier2168930
Identifier TypeOTHER
Identifier State
Identifier IssuerPK

VIII. Authorized Official

Name: RAYMOND HAWASH
Title or Position: FINANCIAL COORDINATOR
Credential:
Phone: 201-389-0107