St. Joseph'S Healthcare, Inc.
Organization Active NPI Internal Medicine Physician · Paterson, NJ
NPI 1497791297 · NPPES record last updated Jul 3, 2024
Key facts
- NPI
- 1497791297
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 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
- Organization subpart
- No
Authorized official
- Name
- Michael Alwell
- Title
- Cfo/ VP of Physician Enterprise
- Phone
- (973) 754-2136
Member of 1
Practitioners 559
-
Essam A. Ahmed, M.D.
-
Amer Akmal, M.D.
-
Meredith Brandon, MD
-
Robin Daniel, PMHNP
-
Dianelys Garcia, MD
-
Bindu C Khanna, MD
-
Kalliopi S Nissirios, M.D
-
Sohail Qayyum, MD
-
Juan L. Riestra, M.D.
-
Jennifer Taylor, M.D.
-
Irmute Usiene, MD
-
Ketaki Vaidhyanathan, M.D.
-
Lan Wang, M.D.
-
Michael Scott Wetzel, P.A.-C
-
Louis Arroyo, M.D.
-
Sami Abdulmassih, M.D
-
Richard B Adams, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations (25 of 72)
315 E Lindsley Rd
Cedar Grove, NJ 07009
Phone (973) 754-4800
1037 US Highway 46
Ste 103
Clifton, NJ 07013
Phone (973) 471-8852
1135 Broad St
Ste 1
Clifton, NJ 07013
Phone (973) 754-2196
1135 Broad St
Ste 203
Clifton, NJ 07013
1135 Clifton Ave
Bsmt 3
Clifton, NJ 07013
1135 Broad St
Ste 13
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
123 Highland Ave
Glen Ridge, NJ 07028
Phone (973) 746-7474
308 Willow Ave
Ofc 1
Hoboken, NJ 07030
Phone (201) 418-4972
695 Bloomfield Ave
#2B
Montclair, NJ 07042
695 Bloomfield Ave
Ste 2
Montclair, NJ 07042
Phone (973) 569-6430
401 Haledon Ave
North Haledon, NJ 07508
Phone (973) 595-8800
30 W Century Rd
#2
Paramus, NJ 07652
30 W Century Rd
Fl 2
Paramus, NJ 07652
Phone (973) 754-5830
703 Main St
Ste CCB3
Paterson, NJ 07503
Phone (973) 754-4399
703 Main St
#A2415
Paterson, NJ 07503
Phone (973) 754-2486
703 Main St
Ste 7
Paterson, NJ 07503
703 Main St
#3
Paterson, NJ 07503
160 Market St
Paterson, NJ 07505
Phone (973) 754-4701
703 Main St
Ste 7017
Paterson, NJ 07503
703 Main St
Ste R1085
Paterson, NJ 07503
703 Main St
#T
Paterson, NJ 07503
703 Main St
Fl 7
Paterson, NJ 07503
703 Main St
Fl 1
Paterson, NJ 07503
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3327809 | Medicaid | NJ |
Other providers in Paterson, NJ
- St Josephs University Medical Center Inc.
- St. Joseph Hospital and Medical Center
- St. Joseph'S Emergency Physicians Inc
- St. Joseph'S Faculty Physicians Inc
- St. Joseph'S Health Partners
- St. Joseph'S Hospital & Medical Center
- St. Joseph'S Medical Group PC
- St. Joseph'S Physicians Inc
- St. Joseph'S Regional Med. Ctr.
- St. Joseph'S Rest Home for Aged Women
All providers in Paterson, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.