NPIMap

Organization Active NPI

Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
National Provider Identifier
1629165204
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
12007 Issued in NJ
Legal business name
TRINITAS REGIONAL MEDICAL CENTER
Practice address
655 E Jersey Street
Youth Case Management
Elizabeth, NJ 07206
Phone
(908) 994-5000
NPI assigned
Oct 6, 2006
Organization subpart
Yes
Parent organization
TRINITAL REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
Ronald Daddis
Title
Director of Physician Billing
Phone
(908) 994-8068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 12007 NJ Primary

Addresses

Primary practice location

655 E Jersey Street
Youth Case Management
Elizabeth, NJ 07206

Mailing address

225 Williamson Street
Physician Billing
Elizabeth, NJ 07207
Phone (908) 994-8068

Other identifiers 1

IdentifierTypeStateIssuer
0023302MedicaidNJ

Other names 1

  • Trinitas Hospital-Youth Case Management Other name

National Provider Directory

National Provider Directory
Tax ID family
Trinitas Regional Medical Center - Sleep Disorder Center40 organizations share this tax ID, including this one
Part of
Trinitas Regional Medical Center - Sleep Disorder Center

Other organizations with this tax ID 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1629165204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WILLIAMSON STREET",
            "address_2": "PHYSICIAN BILLING",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07207",
            "telephone_number": "908-994-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E JERSEY STREET",
            "address_2": "YOUTH CASE MANAGEMENT",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07206",
            "telephone_number": "908-994-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITAS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITAL REGIONAL MEDICAL CENTER",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "DADDIS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN BILLING",
        "authorized_official_telephone_number": "908-994-8068"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "12007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinitas Hospital-Youth Case Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.