NPIMap

Organization Active NPI

St Michael's Medical Center

  • General Acute Care Hospital
  • Belleville, NJ
National Provider Identifier
1497143440
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ST MICHAEL'S MEDICAL CENTER
Practice address
110 Newark Ave Apt F6
Belleville, NJ 07109-4129
Phone
(503) 515-3167
NPI assigned
Dec 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Stephen Abo, D.O.
Title
Aoa Internal Medicine Residency Dir
Phone
(201) 892-9839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

110 Newark Ave Apt F6
Belleville, NJ 07109-4129

Mailing address

110 Newark Ave Apt F6
Belleville, NJ 07109-4129
Phone (503) 515-3167

Other identifiers 1

IdentifierTypeStateIssuer
P13-00379OtherNJRESIDENCY TRAINING PERMIT

National Provider Directory

National Provider Directory
Tax ID family
Saint Michaels Medical Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1497143440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NEWARK AVE APT F6",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071094129",
            "telephone_number": "503-515-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NEWARK AVE APT F6",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071094129",
            "telephone_number": "503-515-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MICHAEL'S MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "ABO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "AOA INTERNAL MEDICINE RESIDENCY DIR",
        "authorized_official_telephone_number": "201-892-9839",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENCY TRAINING PERMIT",
            "identifier": "P13-00379",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.