St Mary's Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

FACILITY#11606 Issued in NJ

Legal business name

ST MARY'S HOSPITAL

Practice address

350 Boulevard
Passaic, NJ 07055-2840

Phone

(973) 470-3012

NPI assigned

Apr 29, 2008

Last updated

Mar 26, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

ST MARY'S HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. Thomas Ranucci

Title

Revenue Cycle Director

Phone

(973) 594-7836

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

St Marys Hospital Passa

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1659546729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "07055",
            "telephone_number": "973-594-7836",
            "fax_number": "973-365-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552840",
            "telephone_number": "973-470-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY'S HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST MARY'S HOSPITAL",
        "enumeration_date": "2008-04-29",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "RANUCCI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "973-594-7836",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "FACILITY#11606",
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4135300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Acute Care Hospital in Passaic, NJ
• Providers in Passaic, NJ by specialty
• General Acute Care Hospital in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.