East Orange General Hospital

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EAST ORANGE GENERAL HOSPITAL

Practice address

300 Central Ave
East Orange, NJ 07018-2819

Phone

(973) 266-4420

Fax

(973) 266-8490

NPI assigned

Jan 14, 2009

Last updated

Jun 8, 2016By 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

Nicholas Lanza

Title

Cfo

Phone

(973) 414-3405

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1215174107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CENTRAL AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182819",
            "telephone_number": "973-266-4420",
            "fax_number": "973-266-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTRAL AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182819",
            "telephone_number": "973-266-4420",
            "fax_number": "973-266-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ORANGE GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "LANZA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "973-414-3405"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "10704",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace V Dy, RN
• Dymphna Mental Health Services LLC
• Dynamic Physical Therapy and Wellness LLC
• E Glise Evangeligue Eben Ezer Inc (Adult Social Day Care Center)
• E&M Pharmacy LLC (Mike's Pharmacy)
• East Orange General Hospital
• East Orange General Hospital
• East Orange General Hospital
• East Orange General Hospital
• East Orange General Hospital

• Mental Health Clinic/Center (Including Community Mental Health Center) in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.