NPIMap

Organization Active NPI

Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
National Provider Identifier
1790785913
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
225 Williamson St
Elizabeth, NJ 07202-3625
Phone
(908) 994-5000
NPI assigned
Jul 29, 2005
Last updated
Feb 26, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITAS 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
Gary Horan
Title
President/Ceo
Phone
(908) 994-5000

Specialties & licenses 1

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

Addresses

Primary practice location

225 Williamson St
Elizabeth, NJ 07202-3625

Mailing address

225 Williamson St
Physician Billing
Elizabeth, NJ 07202-3625
Phone (908) 994-8068

Other identifiers 1

IdentifierTypeStateIssuer
4136900MedicaidNJ

Other names 1

  • Trinitas Hospital - Ambulance Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040107000859 NJ Part A Provider - Hospital 0143138016 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elizabeth, NJ; Cranford, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790785913. Details of each certification follow.

Hospital certification: CCN 310027

Legal name
TRINITAS REGIONAL MEDICAL CENTER
Doing business as
CORRO HEALTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 14, 2023
Beds
384
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 6, 2000 in NJ
Enrollment address
225 Williamson St
Elizabeth, NJ 72023625
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Trinitas Regional Medical CenterCCN 310027 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Trinitas Reg Med Ctr

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Richard Henwood Individual W-2 Managing EmployeeUp Corp Reimbursement Jan 1, 2022
Richard P Mackessy Individual Corporate Director Jun 14, 2013
Victor Richel Individual Corporate Officer Jun 14, 2013
Corporate Director Jun 14, 2013
Maureen Shaughnessy Individual Corporate DirectorDirector Jan 1, 2024
Gary Horan Individual Corporate Director Apr 15, 2023
Jan Margolis Individual Corporate Director Jun 14, 2013
RWJ Barnabas Health Inc Organization, West Orange, NJ Corporation, Non-profit Operational/Managerial Control Jan 1, 2022 100%
Margaret McMenamin Individual Corporate Director Jun 14, 2013
David Gallinetti Individual Corporate OfficerSite Finance Officer Feb 12, 2024
W-2 Managing EmployeeSite Finance Officer Feb 12, 2024
Jacquelyn Balasia Individual Corporate DirectorDirector Jan 1, 2023
Roderick Spearman Individual Corporate Director Jun 14, 2013
Ronald D Pallant Individual Corporate Director Jun 14, 2013
Nancy Diliegro Individual Corporate OfficerPresident and Ceo Apr 15, 2023
W-2 Managing EmployeePreident and Ceo Apr 15, 2023 50%
Anthony Pelosi Individual Corporate Director Jun 14, 2013
Eileen Clifford Individual Corporate Director Jun 14, 2013
Karim J Khimani Individual Corporate Officer Jun 14, 2013
Alfonso Lopez Individual Corporate Director Jun 14, 2013
Thomas Kachelriess Individual Corporate Officer Jun 14, 2013
Corporate Director Jun 14, 2013

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 347

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

View all 347

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1790785913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WILLIAMSON ST",
            "address_2": "PHYSICIAN BILLING",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023625",
            "telephone_number": "908-994-8068",
            "fax_number": "908-994-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WILLIAMSON ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023625",
            "telephone_number": "908-994-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITAS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITAS REGIONAL MEDICAL CENTER",
        "enumeration_date": "2005-07-29",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "HORAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "908-994-5000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "12007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4136900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinitas Hospital - Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.