Active NPI
Humc Opco LLC
- Rehabilitation Hospital Unit
- Hoboken, NJ
National Provider Identifier
1497910012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- 10908
- Legal business name
- HUMC OPCO LLC
- Practice address
- 308 Willow Ave
Hoboken, NJ 07030-3808 - Phone
- (201) 418-1000
- Fax
- (201) 418-1053
- NPI assigned
- Jul 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vincent Riccitelli
- Title
- Executive Director Finance
- Phone
- (201) 418-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 10908 | NJ | Primary |
Addresses
Primary practice location
308 Willow Ave
Hoboken, NJ 07030-3808
Mailing address
308 Willow Ave
Hoboken, NJ 07030-3808
Phone (201) 418-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4137906 | Medicaid | NJ |
Other names 1
- Hoboken University Medical Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314144000000",
"number": "1497910012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 WILLOW AVE",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070303808",
"telephone_number": "201-418-1000",
"fax_number": "201-418-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 WILLOW AVE",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070303808",
"telephone_number": "201-418-1000",
"fax_number": "201-418-1053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMC OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-23",
"last_updated": "2011-08-24",
"status": "A",
"authorized_official_last_name": "RICCITELLI",
"authorized_official_first_name": "VINCENT",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR FINANCE",
"authorized_official_telephone_number": "201-418-1000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "NJ",
"license": "10908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4137906",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hoboken University Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.