NPIMap

Organization Active NPI

East Orange General Hospital

  • General Acute Care Hospital
  • East Orange, NJ
National Provider Identifier
1619924362
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
10704 Issued in NJ
Legal business name
EAST ORANGE GENERAL HOSPITAL
Practice address
300 Central Ave
East Orange, NJ 07018-2819
Phone
(973) 414-3448
Fax
(973) 414-3487
NPI assigned
May 28, 2006
Last updated
Sep 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Mr. Warren George Miller Jr.
Title
Director of Patient Accounts
Phone
(973) 414-3448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 10704 NJ Primary

Addresses

Primary practice location

300 Central Ave
East Orange, NJ 07018-2819

Mailing address

300 Central Ave
East Orange, NJ 07018-2819
Phone (973) 414-3448

Other identifiers 1

IdentifierTypeStateIssuer
4140001MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1619924362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CENTRAL AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182819",
            "telephone_number": "973-414-3448",
            "fax_number": "973-414-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTRAL AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182819",
            "telephone_number": "973-414-3448",
            "fax_number": "973-414-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ORANGE GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "973-414-3448",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "10704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4140001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.