Healthcare Provider Details

I. General information

NPI: 1811158066
Provider Name (Legal Business Name): ST. JOSEPH'S REGIONAL MED. CTR.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2008
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 MAIN ST
PATERSON NJ
07503-2621
US

IV. Provider business mailing address

275 MOUNT HOPE AVE
DOVER NJ
07801-1804
US

V. Phone/Fax

Practice location:
  • Phone: 973-754-2943
  • Fax:
Mailing address:
  • Phone: 973-919-7149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberYA00295
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberMG00861
License Number StateNJ

VIII. Authorized Official

Name: SHARON LYNNE EINBINDER
Title or Position: AUDIOLOGIST
Credential: M.S., CCC/A
Phone: 973-754-2943