NPIMap

Organization Active NPI

Holy Name Medical Center Inc.

Doing business as Holy Name Hospital Adult Day Care

  • Adult Care Home Facility
  • Teaneck, NJ
National Provider Identifier
1629284302
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
10205 Issued in NJ
Legal business name
HOLY NAME MEDICAL CENTER INC.
Doing business as
Holy Name Hospital Adult Day Care
Practice address
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone
(201) 833-3000
Fax
(201) 833-4486
NPI assigned
May 16, 2007
Organization subpart
Yes
Parent organization
HOLY NAME MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Doug Zehner
Title
Cfo
Phone
(201) 833-7016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 10205 NJ Primary

Addresses

Primary practice location

718 Teaneck Rd
Teaneck, NJ 07666-4245

Mailing address

718 Teaneck Road
Teaneck, NJ 07666-4249
Phone (201) 833-3000

Other identifiers 1

IdentifierTypeStateIssuer
4135407MedicaidNJ

Other names 1

  • Holy Name Hospital Adult Day Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ralph Marcus MD9 organizations share this tax ID, including this one
Part of
Ralph Marcus MD

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1629284302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 TEANECK ROAD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664249",
            "telephone_number": "201-833-3000",
            "fax_number": "201-833-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-833-3000",
            "fax_number": "201-833-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY NAME MEDICAL CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLY NAME MEDICAL CENTER INC",
        "enumeration_date": "2007-05-16",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "ZEHNER",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "201-833-7016"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NJ",
            "license": "10205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4135407",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Name Hospital Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.