NPIMap

Organization Active NPI

St Josephs Hospital and Medical Center

Doing business as St Josephs Regional Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Paterson, NJ
National Provider Identifier
1164412573
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
11605 Issued in NJ
Legal business name
ST JOSEPHS HOSPITAL AND MEDICAL CENTER
Doing business as
St Josephs Regional Medical Center
Practice address
11 Getty Ave
Paterson, NJ 07503-2806
Phone
(973) 569-6400
Fax
(973) 569-6401
NPI assigned
Oct 26, 2005
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Ms. Joanne Dunay
Title
Controller
Phone
(973) 754-2016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 11605 NJ Primary

Addresses

Primary practice location

11 Getty Ave
Paterson, NJ 07503-2806

Mailing address

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000

Other identifiers 1

IdentifierTypeStateIssuer
4136403MedicaidNJ

Other names 1

  • St Josephs Regional Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paterson@sjh.cernerdirect.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1164412573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-2000",
            "fax_number": "973-754-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GETTY AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032806",
            "telephone_number": "973-569-6400",
            "fax_number": "973-569-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS HOSPITAL AND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "DUNAY",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "973-754-2016",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NJ",
            "license": "11605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4136403",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paterson@sjh.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "St Josephs Paterson Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "11 Getty Ave",
            "city": "Paterson",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "075032806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St Josephs Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Josephs Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.