St Josephs Hospital and Medical Center

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

22344 Issued in NJ

Legal business name

ST JOSEPHS HOSPITAL AND MEDICAL CENTER

Doing business as

St Josephs Regional Medical Center

Practice address

57 Willowbrook Blvd
Wayne, NJ 07470-7045

Phone

(973) 754-4048

Fax

(973) 754-4049

NPI assigned

Oct 24, 2005

Last updated

Mar 31, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Joanne Dunay

Title

Controller

Phone

(973) 754-2016

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St Josephs Regional Medical Center Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1437149325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-2000",
            "fax_number": "973-754-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 WILLOWBROOK BLVD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707045",
            "telephone_number": "973-754-4048",
            "fax_number": "973-754-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS HOSPITAL AND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "DUNAY",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "973-754-2016",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NJ",
            "license": "22344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4136403",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paterson@sjh.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "St Josephs Paterson Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "57 Willowbrook Blvd",
            "city": "Wayne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074707045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St Josephs Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Josephs Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald A Spitzer, DDS
• Zachary Suval Spitzer, DDS
• Gangadhar S Sreepada, M.D.
• St Joseph's Hospital and Medical Center
• St Josephs Health Pharmacy, LLC (St. Joseph's Health Pharmacy-Wayne)
• St Josephs University Medical Center Inc.
• St. Joseph's Dialysis , LLC
• St. Joseph's Wayne Hospital
• St. Joseph's Wayne Hospital
• George Michael Stagg, PHARMACIST

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wayne, NJ
• Providers in Wayne, NJ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.