Organization Active NPI

Life St. Francis Corporation

  • Exclusive Provider Organization
  • Bordentown, NJ
National Provider Identifier
1386893337
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
LIFE ST. FRANCIS CORPORATION
Practice address
7500 K Johnson Blvd
Bordentown, NJ 08505-2242
Phone
(609) 599-5433
NPI assigned
Sep 15, 2008
Organization subpart
Yes
Parent organization
ST. FRANCIS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Ms. Jill Ann Viggiano, MS
Title
Executive Director
Phone
(609) 599-5475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

7500 K Johnson Blvd
Bordentown, NJ 08505-2242

Mailing address

7500 K Johnson Blvd
Bordentown, NJ 08505-2242
Phone (609) 599-5433

Other identifiers 2

IdentifierTypeStateIssuer
0169129MedicaidNJ
H1234OtherMEDICARE H NUMBER

National Provider Directory

National Provider Directory
Part of
Fox Chase Cancer Ctr at

Locations

7500 K Johnson Blvd
Bordentown, NJ 08505
Phone (609) 599-5433

Practitioners & affiliated clinicians

Practitioners 2

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": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1386893337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 K JOHNSON BLVD",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052242",
            "telephone_number": "609-599-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 K JOHNSON BLVD",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052242",
            "telephone_number": "609-599-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ST. FRANCIS CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. FRANCIS MEDICAL CENTER",
        "enumeration_date": "2008-09-15",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "VIGGIANO",
        "authorized_official_first_name": "JILL ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-599-5475",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0169129",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE H NUMBER",
            "identifier": "H1234",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.