Organization Active NPI

County of Essex

Doing business as Essex County Hospital Center

  • Psychiatric Hospital
  • Cedar Grove, NJ
National Provider Identifier
1174640734
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
50706 Issued in NJ
Legal business name
COUNTY OF ESSEX
Doing business as
Essex County Hospital Center
Practice address
204 Grove Ave
Cedar Grove, NJ 07009-1436
Phone
(973) 571-2833
Fax
(973) 571-2899
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lucia Guarini
Title
Director Health & Rehab
Phone
(973) 571-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 50706 NJ Primary

Addresses

Primary practice location

204 Grove Ave
Cedar Grove, NJ 07009-1436

Mailing address

204 Grove Ave
Cedar Grove, NJ 07009-1436
Phone (973) 571-2833

Other names 1

  • ESSEX COUNTY HOSPITAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070206000659 NJ Part A Provider - Hospital 7214837061 Practice locations: Cedar Grove, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174640734. Details of each certification follow.

Hospital certification: CCN 314020

Legal name
COUNTY OF ESSEX
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jun 19, 1990
Last certification
May 13, 2022
Beds
180
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Incorporated
Jan 1, 1897
Enrollment address
204 Grove Ave
Cedar Grove, NJ 70091436
Hospital Psychiatric Unit
Hospital subgroups
General, Acute care, Psychiatric

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Essex County Hospital CenterCCN 314020 · All quality measures
Type
Psychiatric
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Essex Cty Geriatric Ctr6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

204 Grove Ave
Cedar Grove, NJ 07009
Phone (973) 571-2800

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Frank J Delgaudio Individual Corporate Director Jul 23, 2013
Operational/Managerial Control Jul 23, 2013

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174640734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 GROVE AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091436",
            "telephone_number": "973-571-2833",
            "fax_number": "973-571-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 GROVE AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091436",
            "telephone_number": "973-571-2833",
            "fax_number": "973-571-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ESSEX",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUARINI",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_title_or_position": "DIRECTOR HEALTH & REHAB",
        "authorized_official_telephone_number": "973-571-2800"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NJ",
            "license": "50706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESSEX COUNTY HOSPITAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Grove, NJ

Sources for this page

Verify at the official NPI Registry.