NPIMap

Organization Active NPI

St. Josephs Regional Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paterson, NJ
National Provider Identifier
1295073500
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
44SL05087100 Issued in NJ
Legal business name
ST. JOSEPHS REGIONAL MEDICAL CENTER
Practice address
56 Hamilton St
Paterson, NJ 07505-2003
Phone
(973) 754-4761
NPI assigned
Jan 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Authorized official

Name
Mrs. Janeth Astrid Burgos-Corredor, LSW
Title
Clinician
Phone
(973) 754-4761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 44SL05087100 NJ Primary

Addresses

Primary practice location

56 Hamilton St
Paterson, NJ 07505-2003

Mailing address

56 Hamilton St
Paterson, NJ 07505-2003
Phone (973) 754-4761

National Provider Directory

National Provider Directory
Tax ID family
St Joseph Regional Medical Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

56 Hamilton St
Paterson, NJ 07505
Phone (973) 754-4750

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1295073500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 HAMILTON ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075052003",
            "telephone_number": "973-754-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 HAMILTON ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075052003",
            "telephone_number": "973-754-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPHS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "BURGOS-CORREDOR",
        "authorized_official_first_name": "JANETH",
        "authorized_official_middle_name": "ASTRID",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "973-754-4761",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "44SL05087100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.