Organization Active NPI

Trinitas Hospital

  • Adult Mental Health Clinic/Center
  • Elizabeth, NJ
National Provider Identifier
1053522474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
44SW05125800 Issued in NJ
Legal business name
TRINITAS HOSPITAL
Practice address
654 E Jersey St FL 2
Elizabeth, NJ 07206-1261
Phone
(908) 994-7560
NPI assigned
May 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Berta L Burgos
Title
Social Worker
Phone
(908) 994-7560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 44SW05125800 NJ Primary

Addresses

Primary practice location

654 E Jersey St FL 2
Elizabeth, NJ 07206-1261

Mailing address

527 North Ave Apt 1a
Elizabeth, NJ 07208-1736
Phone (908) 220-6842

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053522474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 NORTH AVE APT 1A",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081736",
            "telephone_number": "908-220-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 E JERSEY ST FL 2",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061261",
            "telephone_number": "908-994-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITAS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURGOS",
        "authorized_official_first_name": "BERTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "908-994-7560",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "44SW05125800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.