Active NPI
St. Clare'S Hospital
- Psychiatric Hospital
- Cedar Knolls, NJ
National Provider Identifier
1174680698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- ST. CLARE'S HOSPITAL
- Practice address
- 100 E Hanover Ave
Cedar Knolls, NJ 07927-2020 - Phone
- (973) 401-2161
- Fax
- (973) 401-2137
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark J Reeth
- Title
- Senior Clinician
- Phone
- (973) 401-2161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Primary |
Addresses
Primary practice location
100 E Hanover Ave
Cedar Knolls, NJ 07927-2020
Mailing address
162 Ashland Ave
Bloomfield, NJ 07003-2303
Phone (973) 401-2161
National Provider Directory
National Provider Directory- Tax ID family
- Saint Clare'S Community Health Center
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174680698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 ASHLAND AVE",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032303",
"telephone_number": "973-401-2161",
"fax_number": "973-401-2137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E HANOVER AVE",
"city": "CEDAR KNOLLS",
"state": "NJ",
"postal_code": "079272020",
"telephone_number": "973-401-2161",
"fax_number": "973-401-2137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. CLARE'S HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REETH",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SENIOR CLINICIAN",
"authorized_official_telephone_number": "973-401-2161",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Knolls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.