Holy Name Hospital Regional Dialysis Center
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Teaneck, NJ
NPI 1043389349 · NPPES record last updated Jul 13, 2007
Key facts
- NPI
- 1043389349
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- HOLY NAME HOSPITAL REGIONAL DIALYSIS CENTER
- Practice address
- 718 Teaneck Rd
Teaneck, NJ 07666-4245 - Phone
- (201) 833-3000
- Fax
- (201) 833-4486
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Suzanne Juliano
- Title
- Director, Dialysis Center
- Phone
- (201) 833-3000
Other NPIs on the same Medicare enrollment 1
Related certifications (CCN) 1
Affiliated clinicians 778
-
Alain Abi-Ghanem, M.D.
-
Alice Abraham, M.D.
-
Osama Mahmoud Abu-Hadid, M.D.
-
Ananea Adamidis, M.D.
-
Myiella G. Adelantar, FNP-BC
-
Joel Adler, MD
-
Antwan Ahad, MD
-
Adeel Ahmad, M.D.
-
Attiya Ahmad, M.D.
-
Mutahar Ahmed, MD
-
Subhan Ahmed, M.D
-
George Ajjan, M.D.
-
Tamer N Akel, MD
-
Francis G. Alberta, M.D.
-
Amy G Ali, M.D.
-
Lucia Alvarez, MD
-
Gary S Alweiss, MD
-
David Ambinder, MD
-
Gerald Andah, MD
-
Stephen J Angeli, MD
-
Lee M Angioletti, M.D.
Medicare Care Compare: Hospital
- Listed as
- Holy Name Medical Center
- Overall star rating
- ★★★★★ 5 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Hospital certification: CCN 310008
- Legal name
- HOLY NAME MEDICAL CENTER INC
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Feb 3, 2023
- Beds
- 372
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 24, 1958 in NJ
- Enrollment address
- 718 Teaneck Rd
Teaneck, NJ 76664245 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Santo Gencarelli |
Contracted Managing Employee |
Aug 26, 2025 | |
| Corporate Officer | Aug 26, 2025 | ||
| W-2 Managing Employee |
Aug 26, 2025 | ||
| Michael Maron |
Corporate Director |
Aug 1, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110126000050 | NJ | Part a Provider - Hospital | 3971665183 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Englewood, NJ; Hackensack, NJ; Oradell, NJ; Teaneck, NJ; Union City, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
718 Teaneck Rd
Teaneck, NJ 07666-4245
Mailing address
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4135407 | Medicaid | NJ |
Other providers in Teaneck, NJ
- Holy Name Cardiology Associates, PC
- Holy Name EMS
- Holy Name Health Physicians
- Holy Name Home Dialysis Center, Inc.
- Holy Name Hospital Ekg Interpretation Group
- Holy Name Imaging LLC
- Holy Name Medical Associates, PC
- Holy Name Medical Center
- Holy Name Medical Center Inc
- Holy Name Medical Center Inc
All providers in Teaneck, NJ · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.