St. Michaels Medical Center

Primary specialty

Chronic Disease HospitalTaxonomy code 281P00000X

License

25MA09562500 Issued in NJ

Legal business name

ST. MICHAELS MEDICAL CENTER

Practice address

927 Ridgewood Rd
Millburn, NJ 07041-1441

Phone

(732) 259-8446

NPI assigned

Sep 11, 2014

Organization subpart

Yes

Parent organization

ST. MICHAELS MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Jason Shayne Dazley, MD

Title

Internal Medicine Physician

Phone

(732) 259-8446

Specialties & licenses 1

Addresses

Part of

Saint Michaels Medical Center

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1104227990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 RIDGEWOOD RD",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411441",
            "telephone_number": "732-259-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 RIDGEWOOD RD",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411441",
            "telephone_number": "732-259-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MICHAELS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MICHAELS MEDICAL CENTER",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "DAZLEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "SHAYNE",
        "authorized_official_title_or_position": "INTERNAL MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "732-259-8446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "NJ",
            "license": "25MA09562500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Specialist in Thoracic Surgery LLC
• Specialty Infusion of NJ PC
• Sharon Spiteri, MD
• Susan Sprague-Lee, LCSW
• Ranjini Sridhar
• Stacom Psychological Services
• Michael George Steinberg, D.D.S.
• Mara Sterio, MD
• Joel Dana Stern, P.T.
• Richard I Stillman, M.D.

• Chronic Disease Hospital in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Chronic Disease Hospital in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.