Organization Active NPI

St. Joseph's Healthcare, Inc.

  • Internal Medicine Physician
  • Paterson, NJ
National Provider Identifier
1497791297
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ST. JOSEPH'S HEALTHCARE, INC.
Practice address
703 Main St
St. Joseph's Regional Medical Center
Paterson, NJ 07503-2621
Phone
(973) 754-2000
Fax
(973) 754-4574
NPI assigned
Jun 21, 2006
Last updated
Jul 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Michael Alwell
Title
Cfo/ VP of Physician Enterprise
Phone
(973) 754-2136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

703 Main St
St. Joseph's Regional Medical Center
Paterson, NJ 07503-2621

Mailing address

703 Main St
St. Joseph's Regional Medical Center
Paterson, NJ 07503-2621
Phone (973) 754-2000

Other identifiers 1

IdentifierTypeStateIssuer
3327809MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330001612 NJ Part B Supplier - Clinic/Group Practice 9739171984 Receives reassigned benefits from 394 practitioners
Practice locations: Paterson, NJ; Rochelle Park, NJ; Saddle Brook, NJ; Wayne, NJ; Fairfield, NJ; Woodland Park, NJ; Cedar Grove, NJ; Clifton, NJ…

National Provider Directory

National Provider Directory

Member of 1

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

Locations (25 of 80)

1135 Broad St
Ste 1
Clifton, NJ 07013
Phone (973) 389-5265

1135 Broad St
Ste 13
Clifton, NJ 07013

1135 Broad St
Ste 2
Clifton, NJ 07013
Phone (973) 471-3500

1135 Broad St
Ste 203
Clifton, NJ 07013

1135 Clifton Ave
Clifton, NJ 07013
Phone (973) 777-2536

1135 Clifton Ave
Bsmt 3
Clifton, NJ 07013

196 Paterson Ave
Ste 301
East Rutherford, NJ 07073

81 Two Bridges Rd
Bldg 2
Fairfield, NJ 07004
Phone (973) 569-6370

330 Lafayette Ave
Hawthorne, NJ 07506
Phone (973) 389-5280

308 Willow Ave
Ofc 1
Hoboken, NJ 07030
Phone (201) 418-4972

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8280

550 Newark Ave
Ste 302
Jersey City, NJ 07306
Phone (201) 222-8288

695 Bloomfield Ave
#2B
Montclair, NJ 07042

695 Bloomfield Ave
Ste 2
Montclair, NJ 07042
Phone (973) 569-6430

30 W Century Rd
#2
Paramus, NJ 07652

30 W Century Rd
Fl 2
Paramus, NJ 07652
Phone (973) 754-5830

30 W Century Rd
Ste 215
Paramus, NJ 07652
Phone (201) 262-2244

11 Getty Ave
Paterson, NJ 07503
Phone (973) 754-2125

11 Getty Ave
Ste B246
Paterson, NJ 07503

11 Getty Ave 2
Paterson, NJ 07503

11 Getty Ave 275
Paterson, NJ 07503

11 Getty Ave BLDG 275 FL 2
Paterson, NJ 07503

11 Getty Ave BLDG 2752
Paterson, NJ 07503

11 Getty Ave BLDG 2752ND
Paterson, NJ 07503

11 Getty Ave BLDG 400
Paterson, NJ 07503

Practitioners & affiliated clinicians

Practitioners 559

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 559

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1497791297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MAIN ST",
            "address_2": "ST. JOSEPH'S REGIONAL MEDICAL CENTER",
            "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": "703 MAIN ST",
            "address_2": "ST. JOSEPH'S REGIONAL MEDICAL CENTER",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-2000",
            "fax_number": "973-754-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "ALWELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO/ VP OF PHYSICIAN ENTERPRISE",
        "authorized_official_telephone_number": "973-754-2136"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3327809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.