Active NPI
Daughters of Miriam
- Skilled Nursing Facility
- Clifton, NJ
National Provider Identifier
1285620591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 031601
- Legal business name
- DAUGHTERS OF MIRIAM
- Practice address
- 155 Hazel St
Clifton, NJ 07011-3423 - Phone
- (973) 772-3700
- Fax
- (973) 253-5389
- NPI assigned
- Sep 22, 2005
- 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. Frank Dasilva
- Title
- Chief Operating Officer
- Phone
- (973) 253-5210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 031601 | NJ | Primary |
Addresses
Primary practice location
155 Hazel St
Clifton, NJ 07011-3423
Mailing address
155 Hazel St
Clifton, NJ 07011-3423
Phone (973) 772-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4497503 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Verona, NJ
- NPI 1144236175
-
- Clinical Social Worker
- Nutley, NJ
- NPI 1043384019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285620591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 HAZEL ST",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070113423",
"telephone_number": "973-772-3700",
"fax_number": "973-253-5389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 HAZEL ST",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070113423",
"telephone_number": "973-772-3700",
"fax_number": "973-253-5389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAUGHTERS OF MIRIAM",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DASILVA",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "973-253-5210",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "031601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4497503",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, 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.