Saint Michael'S Medical Center

Primary specialty

Chronic Disease HospitalTaxonomy code 281P00000X

License

25MA09291600 Issued in NJ

Legal business name

SAINT MICHAEL'S MEDICAL CENTER

Practice address

111 Central Ave
Cardiology Dept. Fifth Floor
Newark, NJ 07102-1909

Phone

(973) 877-5061

NPI assigned

Jul 29, 2013

Organization subpart

No

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

Authorized official

Name

David Ricci

Title

Ceo

Phone

(973) 877-5000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1710329917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 RIVER RD",
            "address_2": "APT. K",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "address_2": "CARDIOLOGY DEPT. FIFTH FLOOR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MICHAEL'S MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "RICCI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-877-5000"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "NJ",
            "license": "25MA09291600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saint James Health, Inc
• Saint James Health, Inc
• Saint James Health, Inc
• Marie C Saint Juste, TRS
• Saint Masiah Premier Healthcare
• Saint Michael'S Medical Center
• Saint Michael'S Medical Center
• Saint Michael'S Medical Center, Inc
• Saint Michael'S Medical Center, Inc.
• Saint Michaels Medical Center Inc.

• Chronic Disease Hospital in Newark, NJ
• Providers in Newark, NJ by specialty
• Chronic Disease Hospital in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.