NPIMap

Organization Active NPI

Memorial Hospital for Cancer & Allied Diseases

  • General Acute Care Hospital
  • Basking Ridge, NJ
National Provider Identifier
1659385474
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
7002020H Issued in NY
Legal business name
MEMORIAL HOSPITAL FOR CANCER & ALLIED DISEASES
Practice address
136 Mountain View Blvd
Basking Ridge, NJ 07920-3444
Phone
(908) 542-3000
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Kathryn Martin
Title
Coo
Phone
(212) 639-2623

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 7002020H NY Primary
Durable Medical Equipment & Medical Supplies 332B00000X 7002020H NY

Addresses

Primary practice location

136 Mountain View Blvd
Basking Ridge, NJ 07920-3444

Mailing address

1275 York Ave
New York, NY 10021-6007
Phone (212) 639-2000

Other identifiers 1

IdentifierTypeStateIssuer
00243467MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060913000137 NY Part A Provider - Hospital 7315929429 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Harrison, NY; Uniondale, NY; New York, NY; Montvale, NJ; Middletown, NJ; Commack, NY; Brooklyn, NY; Basking Ridge, NJ

Hospital certification: CCN 330154

Legal name
MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 1, 1968
Last certification
Oct 28, 2022
Beds
514
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 31, 1884 in NY
Enrollment address
1275 York Ave
New York, NY 10065-6007
Main/Primary Hospital Location
Hospital subgroups
Acute care, Short-term, Other

All disclosed owners & managing parties 45

Medicare enrollment files

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

NameRoleSinceShare
Scott M Stuart Individual Corporate Director Apr 2, 2008
Jorge Lopez Individual Corporate Officer Apr 6, 2017
W-2 Managing EmployeeExecutive VP & General Counsel Jul 1, 2016
Tracy Gosselin Individual Corporate Officer Nov 8, 2021
W-2 Managing EmployeeChief Nurse Executive Nov 8, 2021
Clifton S Robbins Individual Corporate Director Mar 1, 2000
Ian Cook Individual Corporate Director Mar 14, 2012
Bruce C Ratner Individual Corporate Director Apr 2, 2008
Peter a Weinberg Individual Corporate Director Mar 30, 2011
Jamie C Nicholls Individual Corporate Director Jan 1, 2019
Carolyn B Levine Individual Corporate Officer Apr 6, 2017
W-2 Managing EmployeeCorporate Secretary Jun 20, 2011
Kenneth Manotti Individual Corporate Officer Jun 1, 2018
W-2 Managing EmployeeSenior VP, Development May 29, 2018
Stanley F Druckenmiller Individual Corporate Director Mar 1, 2003
Anthony B Evnin Individual Corporate Director Mar 30, 2011
Benjamin W Heineman Individual Corporate Director Mar 1, 2004
Roger W Ferguson Individual Corporate Director Apr 1, 2016
Stephen Friedman Individual Corporate Director Mar 1, 2005
Debra Berns Individual Corporate Officer Mar 19, 2018
W-2 Managing EmployeeSenior VP and Chief Risk Officer Mar 19, 2018
Janet Mak Individual Corporate OfficerInterim Chief Digital Officer Mar 31, 2025
W-2 Managing Employee Dec 8, 1997
Anaeze C Offodile Individual Corporate Officer May 1, 2023
W-2 Managing EmployeeChief Strategy Officer May 1, 2023
Jeffrey a Drebin Individual Corporate OfficerChief Physician Executive Jul 2, 2025
W-2 Managing Employee Feb 20, 2017
Lakisha Mack Individual Corporate Officer Mar 27, 2023
W-2 Managing EmployeeChief Administrative Officer Mar 27, 2023
Cardinale B Smith Individual Corporate OfficerChief Medical Officer Dec 1, 2024
W-2 Managing Employee Dec 1, 2024
Margaret Keane Individual Corporate Director Apr 10, 2018
Christopher Deluco Individual W-2 Managing EmployeeVP, Revenue Cycle Management & CPP Mar 25, 2019
William Helman Individual Corporate Director Jun 22, 2017
Mercedes Gorre Individual Corporate OfficerChief of Staff Mar 7, 2016
W-2 Managing Employee Mar 7, 2016
Alan D Schnitzer Individual Corporate Director Apr 6, 2017
Marie-Josee Kravis Individual Corporate Director Jun 1, 2003
John Lasky Individual Corporate OfficerChief People Officer Sep 3, 2024
W-2 Managing Employee Sep 3, 2024
Steven C Glass Individual Corporate OfficerEvp & Chief Financial Officer Mar 19, 2026
W-2 Managing Employee Mar 16, 2026
Shelly a Anderson Individual Corporate Officer Sep 25, 2023
W-2 Managing EmployeeHospital President Sep 25, 2023
Selwyn M Vickers Individual Corporate Officer Sep 19, 2022
Corporate Director Sep 19, 2022
W-2 Managing EmployeePresident and Ceo Sep 19, 2022
Henry a Fernandez Individual Corporate Director Jun 26, 2014
Virginia M Rometty Individual Corporate Director Mar 30, 2011
Ellen V Futter Individual Corporate Director Mar 1, 2003
Alexander T Robertson Individual Corporate Director Apr 1, 2016
John R Strangfeld Individual Corporate Director Apr 1, 2016
Peter J Solomon Individual Corporate Director Mar 30, 2011
Anthony J Diasio Individual W-2 Managing EmployeeSVP Financial Planning Jan 23, 2017
Jason Klein Individual Corporate Officer Apr 6, 2017
W-2 Managing EmployeeSeniorvp & Chief Investment Officer Jun 16, 2008
William E Ford Individual Corporate Director Mar 14, 2012
Erin McDonough Individual Corporate Officer Nov 8, 2021
W-2 Managing EmployeeSVP, Cmo & Cco Nov 8, 2021
Douglas a Warner Individual Corporate Director Mar 1, 1995
James G Niven Individual Corporate Director Mar 1, 1980
Jonathan N Grayer Individual Corporate Director Apr 1, 2006
Stephen C Sherrill Individual Corporate Director Mar 1, 2005

National Provider Directory

National Provider Directory
Tax ID family
Philip R Exelby11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Owners & managing parties with NPI records 3

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2,456

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

View all 2,456

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1659385474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100216007",
            "telephone_number": "212-639-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MOUNTAIN VIEW BLVD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079203444",
            "telephone_number": "908-542-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL FOR CANCER & ALLIED DISEASES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "212-639-2623"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "7002020H",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "7002020H",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243467",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

Verify at the official NPI Registry.