Organization Active NPI

Pax Christi Hospice, Inc.

  • Community Based Hospice Care Agency
  • Staten Island, NY
National Provider Identifier
1437169943
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PAX CHRISTI HOSPICE, INC.
Practice address
1200 South Ave
Suit 306
Staten Island, NY 10314-3413
Phone
(718) 876-1022
Fax
(718) 876-1803
NPI assigned
Aug 8, 2006
Organization subpart
Yes
Parent organization
ST. VINCENT'S CATHOLIC MEDICAL CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Ms. Maureen Gilligan, RN, MA
Title
Administrator
Phone
(718) 876-1022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1200 South Ave
Suit 306
Staten Island, NY 10314-3413

Mailing address

1200 South Ave
Suit 306
Staten Island, NY 10314-3413
Phone (718) 876-1022

Other identifiers 1

IdentifierTypeStateIssuer
01105884MedicaidNY

National Provider Directory

National Provider Directory
Part of
Saint Vincents Catholic Medical Centers of New York

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

227 E 19th St
Fl 10
New York, NY 10003
Phone (212) 995-6950

1200 South Ave
Ste 306
Staten Island, NY 10314
Phone (718) 876-1022

1200 South Ave
#306
Staten Island, NY 10314
Phone (718) 876-1022

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1437169943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SOUTH AVE",
            "address_2": "SUIT 306",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143413",
            "telephone_number": "718-876-1022",
            "fax_number": "718-876-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SOUTH AVE",
            "address_2": "SUIT 306",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143413",
            "telephone_number": "718-876-1022",
            "fax_number": "718-876-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAX CHRISTI HOSPICE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. VINCENT'S CATHOLIC MEDICAL CENTERS",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "GILLIGAN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-876-1022",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01105884",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.