Organization Active NPI

St Josephs University Medical Center Inc.

Doing business as St. Joseph's University Medical Center Specialty Pharmacy

  • Community/Retail Pharmacy
  • Paterson, NJ
National Provider Identifier
1477304541
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ST JOSEPHS UNIVERSITY MEDICAL CENTER INC.
Doing business as
St. Joseph's University Medical Center Specialty Pharmacy
Practice address
703 Main Street
Regan Building Basement, RM RB37
Paterson, NJ 07503-2621
Phone
(973) 754-5640
Fax
(973) 754-3095
NPI assigned
Mar 28, 2024
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Dustin Michael Riccio, MD
Title
Ceo
Phone
(585) 368-6419

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

703 Main Street
Regan Building Basement, RM RB37
Paterson, NJ 07503-2621

Mailing address

703 Main Street
Regan Building Basement, RM RB37
Paterson, NJ 07503-2621
Phone (973) 754-5640

Other names 1

  • ST. JOSEPH'S UNIVERSITY MEDICAL CENTER SPECIALTY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Psychiatry St Josephs H14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

534 Broadway
Bayonne, NJ 07002
Phone (201) 243-6662

935 Allwood Rd
Clifton, NJ 07012
Phone (973) 916-1010

24-17 Fair Lawn Ave
Fair Lawn, NJ 07410
Phone (201) 561-7655

518 Stuyvesant Ave
Lyndhurst, NJ 07071
Phone (201) 340-4656

266-272 Chestnut St
Newark, NJ 07105
Phone (973) 322-7400

181 Franklin Ave
Ste 301
Nutley, NJ 07110
Phone (862) 357-5986

11 E Oak St
Ste 3
Oakland, NJ 07436
Phone (201) 644-7456

310 New Rd
Parsippany, NJ 07054
Phone (973) 396-8667

160 Market St
Paterson, NJ 07505
Phone (973) 754-4701

21 Market St
Paterson, NJ 07501
Phone (973) 754-4200

621 Main St
Paterson, NJ 07503
Phone (941) 251-1488

641 Main St
Paterson, NJ 07503
Phone (973) 754-2575

661 Main St
Ste 205
Paterson, NJ 07503
Phone (862) 799-6903

703 Main St
Bsmt
Paterson, NJ 07503
Phone (973) 754-5640

4911 Stelton Rd
South Plainfield, NJ 07080
Phone (732) 532-0095

225 Minnisink Rd
#2
Totowa, NJ 07512
Phone (862) 657-3000

225 Minnisink Rd
Ste 400
Totowa, NJ 07512
Phone (862) 657-3130

234 Hamburg Tpke
#234
Wayne, NJ 07470
Phone (973) 754-2002

445 Pleasant Valley Way
Ste 100
West Orange, NJ 07052
Phone (862) 453-8200

62 Washington Ave
Westwood, NJ 07675
Phone (201) 355-4958

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1477304541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MAIN STREET",
            "address_2": "REGAN BUILDING BASEMENT, RM RB37",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-5640",
            "fax_number": "973-754-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MAIN STREET",
            "address_2": "REGAN BUILDING BASEMENT, RM RB37",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-5640",
            "fax_number": "973-754-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS UNIVERSITY MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "RICCIO",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "585-368-6419",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. JOSEPH'S UNIVERSITY MEDICAL CENTER SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 2024; 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.