NPIMap

Organization Active NPI

Saint Peter's University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
National Provider Identifier
1114924834
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
11205 Issued in NJ
Legal business name
SAINT PETER'S UNIVERSITY HOSPITAL
Practice address
254 Easton Ave
New Brunswick, NJ 08901-1766
Phone
(732) 745-6651
Fax
(732) 745-7938
NPI assigned
Jul 7, 2005
Last updated
Jan 4, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT PETER'S HEALTHCARE SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Mr. Garrick Stoldt
Title
Cfo
Phone
(732) 745-6651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 11205 NJ Primary

Addresses

Primary practice location

254 Easton Ave
New Brunswick, NJ 08901-1766

Mailing address

254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 745-6651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040112000043 NJ Part B Supplier - Clinic/Group Practice 9931012382 Receives reassigned benefits from 325 practitioners
1 other NPI on this enrollment
Practice locations: Hoboken, NJ; Somerset, NJ; New Brunswick, NJ; Jersey City, NJ
O20080702000323 NJ Part A Provider - Hospital 9931012382 Practice locations: Monroe, NJ; New Brunswick, NJ; Somerset, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114924834. Details of each certification follow.

Hospital certification: CCN 310070

Legal name
SAINT PETERS UNIVERSITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 10, 2023
Beds
478
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 20, 1908 in NJ
Enrollment address
254 Easton Avenue
New Brunswick, NJ 89030591
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Saint Peter's University HospitalCCN 310070 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1802 Oak Tree Rd
Edison, NJ 08820
Phone (732) 548-3210

303 W Main St
Ste 300
Freehold, NJ 07728

856 US Highway 206
Ste 10
Hillsborough, NJ 08844

245 Easton Ave
New Brunswick, NJ 08901
Phone (732) 745-8585

254 Easton Ave
#1
New Brunswick, NJ 08901

254 Easton Ave
Bldg 2
New Brunswick, NJ 08901

254 Easton Ave
Bldg 2N
New Brunswick, NJ 08901

254 Easton Ave
Bldg 3
New Brunswick, NJ 08901
Phone (732) 937-6003

254 Easton Ave
Bldg 4TH
New Brunswick, NJ 08901
Phone (732) 745-6667

254 Easton Ave
Fl 1
New Brunswick, NJ 08901
Phone (732) 745-8571

254 Easton Ave
Fl 2
New Brunswick, NJ 08901
Phone (732) 846-2855

254 Easton Ave
Fl 5
New Brunswick, NJ 08901
Phone (732) 745-8534

254 Easton Ave
Fl F
New Brunswick, NJ 08901

254 Easton Ave
Lowr
New Brunswick, NJ 08901

254 Easton Ave
Ofc
New Brunswick, NJ 08901
Phone (732) 745-6674

254 Easton Ave
Rm 1H
New Brunswick, NJ 08901

562 Easton Ave
New Brunswick, NJ 08901

666 Plainsboro Rd
Ste 1030
Plainsboro, NJ 08536
Phone (609) 275-5100

562 Easton Ave
Ste 2
Somerset, NJ 08873

59 Veronica Ave
Ste 204
Somerset, NJ 08873
Phone (732) 249-0977

680 Easton Ave
Ste 2
Somerset, NJ 08873
Phone (732) 846-9080

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Garrick Stoldt Individual Corporate OfficerTreasurer Jan 1, 2010
Corporate Director Nov 1, 2007
W-2 Managing EmployeeChief Financial Officer Nov 1, 2007
Stacey a Knowles Individual W-2 Managing EmployeeDirector of Managed Care Jan 1, 2015
Vincent Dicks Individual Corporate OfficerVice Chairman Jul 28, 2012
Saint Peter's Healthcare System Inc Organization, New Brunswick, NJ 5% Or Greater Direct Ownership Interest Nov 1, 2007
Operational/Managerial Control Nov 1, 2007

Practitioners & affiliated clinicians

Practitioners 454

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 454

Affiliated clinicians 657

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 657

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1114924834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-745-6651",
            "fax_number": "732-745-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-745-6651",
            "fax_number": "732-745-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT PETER'S UNIVERSITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT PETER'S HEALTHCARE SYSTEM, INC.",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "STOLDT",
        "authorized_official_first_name": "GARRICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "732-745-6651",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "11205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.