NPIMap

Organization Active NPI

Paterson Division of Health

  • State or Local Public Health Clinic/Center
  • Paterson, NJ
National Provider Identifier
1306808373
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
TAX EXEMPT Issued in NJ
Legal business name
PATERSON DIVISION OF HEALTH
Practice address
176 Broadway
Paterson, NJ 07505-1115
Phone
(973) 321-1277
Fax
(973) 321-1246
NPI assigned
Apr 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Mr. Joseph Surowiec
Title
Health Officer
Phone
(973) 321-1277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X TAX EXEMPT NJ Primary

Addresses

Primary practice location

176 Broadway
Paterson, NJ 07505-1115

Mailing address

176 Broadway
Paterson, NJ 07505-1115
Phone (973) 321-1277

Other identifiers 3

IdentifierTypeStateIssuer
0056707MedicaidNJ
984.9MedicaidNJ
3467210MedicaidNJ

National Provider Directory

National Provider Directory

Locations

176 Broadway
Paterson, NJ 07505
Phone (973) 321-1277

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1306808373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051115",
            "telephone_number": "973-321-1277",
            "fax_number": "973-321-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051115",
            "telephone_number": "973-321-1277",
            "fax_number": "973-321-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATERSON DIVISION OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "SUROWIEC",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "973-321-1277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NJ",
            "license": "TAX EXEMPT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056707",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "984.9",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3467210",
            "state": "NJ"
        }
    ],
    "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 Mar 28, 2008; 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.