NPIMap

Organization Active NPI

Trinitas Regional Medical Center

  • Family Medicine Physician
  • Roselle Park, NJ
National Provider Identifier
1104101740
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB02229300 Issued in NJ
Legal business name
TRINITAS REGIONAL MEDICAL CENTER
Practice address
331 Chestnut St
Roselle Park, NJ 07204-1948
Phone
(908) 245-9444
Fax
(908) 245-8826
NPI assigned
Oct 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Thomas J. Sampson
Title
Practice Manager
Phone
(908) 298-0579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 25MB02229300 NJ Primary

Addresses

Primary practice location

331 Chestnut St
Roselle Park, NJ 07204-1948

Mailing address

331 Chestnut St
Roselle Park, NJ 07204-1948
Phone (908) 245-9444

Other names 1

  • TRINITAS REGIONAL MEDICAL CENTER PHYSICIANS PRACTICE ACCT ROSELLE PARK Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trinitas Womens Care40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1104101740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 CHESTNUT ST",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072041948",
            "telephone_number": "908-245-9444",
            "fax_number": "908-245-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 CHESTNUT ST",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072041948",
            "telephone_number": "908-245-9444",
            "fax_number": "908-245-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITAS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "908-298-0579"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB02229300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINITAS REGIONAL MEDICAL CENTER PHYSICIANS PRACTICE ACCT ROSELLE PARK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roselle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.