General Conference of Seventh Day Adventist Hackettstown Community Hos

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

GENERAL CONFERENCE OF SEVENTH DAY ADVENTIST HACKETTSTOWN COMMUNITY HOS

Doing business as

Hackettstown Medical Center

Practice address

651 Willow Grove St
Hackettstown, NJ 07840-1799

Phone

(908) 850-6900

NPI assigned

Oct 1, 2018

Last updated

Oct 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Lenahan

Title

SVP Adm. & Finance Officer

Phone

(973) 829-4240

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hackettstown Medical Center Doing business as

Tax ID family

Hackettstown Hospital L3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• General Conference of Seventh Day Adventist Hackettstown Community Hos

  dba Hackettstown Medical Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Hackettstown, NJ
  • NPI 1992226294
  NPD tax ID
• Hackettstown Communitiy Hospital

  dba HealthStart

  • Birthing Clinic/Center
  • Hackettstown, NJ
  • NPI 1700914389
  NPD tax ID

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1124503636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SOUTH ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606459",
            "telephone_number": "973-829-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WILLOW GROVE ST",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401799",
            "telephone_number": "908-850-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL CONFERENCE OF SEVENTH DAY ADVENTIST HACKETTSTOWN COMMUNITY HOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "LENAHAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "SVP ADM. & FINANCE OFFICER",
        "authorized_official_telephone_number": "973-829-4240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4141300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hackettstown Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Fuzia
• Sheri A Fuzia, PT, MPT
• Robert Joseph Gallagher, RPH
• Gary Vander Vliet DMD
• Jana Lynn Gebhard, MSPT
• General Conference of Seventh Day Adventist Hackettstown Community Hos (Hackettstown Medical Center)
• Victor Gerard Gentile, M.D.
• Jenna Georgia, MS, OTR/L
• Maureen Ghali, LPC, LCADC
• Juliet Ghandour, BCBA

• General Acute Care Hospital in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• General Acute Care Hospital in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.