NPIMap

Organization Active NPI

Inspira Medical Center Woodbury, Inc.

Doing business as Inspira Inpatient Adult Behavioral Health Woodbury

  • Psychiatric Hospital
  • Woodbury, NJ
National Provider Identifier
1629055694
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
10801 Issued in NJ
Legal business name
INSPIRA MEDICAL CENTER WOODBURY, INC.
Doing business as
Inspira Inpatient Adult Behavioral Health Woodbury
Practice address
509 N Broad St
Woodbury, NJ 08096-1617
Phone
(856) 845-0100
Fax
(856) 384-1358
NPI assigned
Dec 29, 2005
Last updated
May 16, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
INSPIRA MEDICAL CENTER WOODBURY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Mr. John Graham
Title
Vice President Coo
Phone
(856) 845-0100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 31S081 NJ
Psychiatric Hospital 283Q00000X 10801 NJ Primary

Addresses

Primary practice location

509 N Broad St
Woodbury, NJ 08096-1617

Mailing address

509 N Broad St
Woodbury, NJ 08096-1617
Phone (856) 845-0100

Other identifiers 1

IdentifierTypeStateIssuer
3676137MedicaidNJ

Other names 1

  • Inspira Inpatient Adult Behavioral Health Woodbury Doing business as

National Provider Directory

National Provider Directory
Part of
FHC of Glassboro

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1629055694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961617",
            "telephone_number": "856-845-0100",
            "fax_number": "856-384-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961617",
            "telephone_number": "856-845-0100",
            "fax_number": "856-384-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRA MEDICAL CENTER WOODBURY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSPIRA MEDICAL CENTER WOODBURY, INC.",
        "enumeration_date": "2005-12-29",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT COO",
        "authorized_official_telephone_number": "856-845-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NJ",
            "license": "31S081",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NJ",
            "license": "10801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3676137",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspira Inpatient Adult Behavioral Health Woodbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.