Healthcare Provider Details

I. General information

NPI: 1609847870
Provider Name (Legal Business Name): ST JOSEPH'S HOSPITAL AND MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 HAMBURG TURNPIKE
WAYNE NJ
07470-2111
US

IV. Provider business mailing address

703 MAIN STREET
PATERSON NJ
07503-2621
US

V. Phone/Fax

Practice location:
  • Phone: 973-956-3500
  • Fax: 973-389-4044
Mailing address:
  • Phone: 973-754-2000
  • Fax: 973-754-2149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number11603
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number11603
License Number StateNJ

VIII. Authorized Official

Name: MR. CHRISTOPHER CAULFIELD
Title or Position: EXECUTIVE DIRECTOR, FINANCE
Credential:
Phone: 973-754-2016