NPIMap

Organization Active NPI

St Joseph's Hospital and Medical Center

  • Rehabilitation Hospital Unit
  • Wayne, NJ
National Provider Identifier
1609847870
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
11603 Issued in NJ
Legal business name
ST JOSEPH'S HOSPITAL AND MEDICAL CENTER
Practice address
224 Hamburg Turnpike
Wayne, NJ 07470-2111
Phone
(973) 956-3500
Fax
(973) 389-4044
NPI assigned
Jan 27, 2006
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ST JOSEPH'S HOSPITAL AND MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Mr. Christopher Caulfield
Title
Executive Director, Finance
Phone
(973) 754-2016

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 11603 NJ Primary
General Acute Care Hospital 282N00000X 11603 NJ

Addresses

Primary practice location

224 Hamburg Turnpike
Wayne, NJ 07470-2111

Mailing address

703 Main Street
Paterson, NJ 07503-2621
Phone (973) 754-2000

Other identifiers 2

IdentifierTypeStateIssuer
4136403MedicaidNJ
4141407MedicaidNJ

Other names 1

  • St Joseph's Wayne Medical Center Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wayne@sjh.cernerdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101014000259 NJ Part A Provider - Hospital 9638062292 Practice locations: Wayne, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609847870. Details of each certification follow.

Hospital certification: CCN 31T019

Legal name
ST JOSEPH'S HEALTH INC
Doing business as
ST JOSEPHS HOSPITAL AND MEDICAL CENTER
Organization structure
CorporationNon-profit
Enrollment address
224 Hamburg Turnpike
Wayne, NJ 74702111
Hospital Rehabilitation Unit
Hospital subgroups
General, Acute care, Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
St. Josephs Wayne HospitalCCN 31T019 · All quality measures
Ownership
Non-profit
Certified
Jan 1, 2010

National Provider Directory

National Provider Directory
Tax ID family
St Joseph's Health Inc14 organizations share this tax ID, including this one
Part of
St Joseph's Health Inc

Other organizations with this tax ID 13

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

View all 13

Interoperability endpoints

  • Direct secure messaging: wayne@sjh.cernerdirect.com

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Alwell Individual W-2 Managing EmployeeVP & Chief Revenue Officer Feb 3, 2025 100%
Kevin J Slavin Individual Corporate OfficerPresident & Ceo Dec 15, 2014
W-2 Managing EmployeePresident & Ceo Dec 15, 2014
Dustin M Riccio Individual W-2 Managing EmployeePresident and Ceo Jan 8, 2024 100%
Dennis Roemer Individual Corporate OfficerSVP, Chief Financial Officer Mar 6, 2017
St Joseph's Health Inc Organization, Paterson, NJ Non-profit Other Jan 1, 1966 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Joseph's Health IncPaterson, NJ, CCN 310019 Hospital Other (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1609847870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MAIN STREET",
            "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": "224 HAMBURG TURNPIKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702111",
            "telephone_number": "973-956-3500",
            "fax_number": "973-389-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH'S HOSPITAL AND MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST JOSEPH'S HOSPITAL AND MEDICAL CENTER",
        "enumeration_date": "2006-01-27",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "CAULFIELD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, FINANCE",
        "authorized_official_telephone_number": "973-754-2016",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NJ",
            "license": "11603",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "11603",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4136403",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4141407",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wayne@sjh.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "St Josephs Wayne Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "224 Hamburg Turnpike",
            "city": "Wayne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074702111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St Joseph's Wayne Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.