NPIMap

Organization Active NPI

Holy Name Medical Center

Doing business as Villa Marie Claire

  • Inpatient Hospice
  • Saddle River, NJ
National Provider Identifier
1396037149
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
License
02C011 Issued in NJ
Legal business name
HOLY NAME MEDICAL CENTER
Doing business as
Villa Marie Claire
Practice address
12 W Saddle River Rd
Saddle River, NJ 07458-3213
Phone
(551) 248-4800
Fax
(201) 357-8216
NPI assigned
May 12, 2011
Organization subpart
Yes
Parent organization
HOLY NAME MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Douglas A Zehner
Title
Cfo
Phone
(973) 926-6982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Hospice 315D00000X 02C011 NJ Primary

Addresses

Primary practice location

12 W Saddle River Rd
Saddle River, NJ 07458-3213

Mailing address

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 227-6055

Other identifiers 1

IdentifierTypeStateIssuer
0262749MedicaidNJ

Other names 1

  • Villa Marie Claire Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2137044Villa Marie Claire12 West Saddle River Road, Saddle River, NJ 07458Certificate of waiverSep 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Holy Name Medical Center Inc9 organizations share this tax ID, including this one
Part of
Holy Name Medical Center Inc

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1396037149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-227-6055",
            "fax_number": "201-530-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W SADDLE RIVER RD",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074583213",
            "telephone_number": "551-248-4800",
            "fax_number": "201-357-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY NAME MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLY NAME MEDICAL CENTER",
        "enumeration_date": "2011-05-12",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "ZEHNER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "973-926-6982"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "NJ",
            "license": "02C011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262749",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Marie Claire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saddle River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.