NPIMap

Organization Active NPI

Saint Michaels Medical Center

  • Special Hospital
  • Nutley, NJ
National Provider Identifier
1043625742
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
SAINT MICHAELS MEDICAL CENTER
Practice address
17 River Rd Apt J
Nutley, NJ 07110-3466
Phone
(973) 493-1951
NPI assigned
Jun 23, 2014
Last updated
Jun 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Doreen Benedetto
Title
Administrative Director
Phone
(973) 877-5487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X NU Primary

Addresses

Primary practice location

17 River Rd Apt J
Nutley, NJ 07110-3466

Mailing address

17 River Rd Apt J
Nutley, NJ 07110-3466
Phone (973) 493-1951

National Provider Directory

National Provider Directory
Tax ID family
Saint Michaels Medical Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1043625742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RIVER RD APT J",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103466",
            "telephone_number": "973-493-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 RIVER RD APT J",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103466",
            "telephone_number": "973-493-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MICHAELS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "BENEDETTO",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "973-877-5487"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.