Cathedral Health Services, Inc

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

10713 Issued in NJ

Legal business name

CATHEDRAL HEALTH SERVICES, INC

Doing business as

Saint Michael's Medical Center

Practice address

111 Central Ave
Newark, NJ 07102-1909

Phone

(973) 877-5000

Fax

(973) 877-5672

NPI assigned

Oct 18, 2007

Last updated

Oct 18, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

CATHEDRAL HEALTH SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Mr. John Grywalski Jr.

Title

Exec VP & Cfo

Phone

(973) 690-3505

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Saint Michael's Medical Center Doing business as

Tax ID family

St James Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Saint Michael's Medical Center

  • Psychiatric Hospital Unit
  • Newark, NJ
  • NPI 1740558832
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cathedral Health Services, Inc

  dba Saint James Hospital

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1841292604
  NPPES parent name

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1164611885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5000",
            "fax_number": "973-877-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5000",
            "fax_number": "973-877-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHEDRAL HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHEDRAL HEALTH SERVICES, INC",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "GRYWALSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXEC VP & CFO",
        "authorized_official_telephone_number": "973-690-3505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "10713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "312316",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4140508",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Michael's Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ingrid Lynn Catania, DC
• Charles Stewart Cathcart, M.D.
• Cathedral Blood Research Institute PA
• Cathedral Cardiac Specialists, PC
• Cathedral Faculty Practice
• Cathedral Health Services, Inc (Saint James Hospital)
• Cathedral Physician Group, PC
• Cathedral Physician Services, P.C.
• Catholic Charities of Archiodese of Newark
• Catholic Charities of the Archdiocese of Newark

• General Acute Care Hospital in Newark, NJ
• Providers in Newark, 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 18, 2007; 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.