NPIMap

Organization Active NPI

St. Joseph's Hospital and Medical Center

Doing business as St. Joseph's Regional Medical Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Ewing, NJ
National Provider Identifier
1801274634
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER
Doing business as
St. Joseph's Regional Medical Center
Practice address
320 Sullivan Way
Cottage 1
Ewing, NJ 08628-3405
Phone
(609) 643-5805
Fax
(609) 643-5507
NPI assigned
May 13, 2015
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. JOSEPH'S HOSPITAL AND MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Mrs. Joanne Dunay
Title
Controller
Phone
(973) 754-2016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU Primary

Addresses

Primary practice location

320 Sullivan Way
Cottage 1
Ewing, NJ 08628-3405

Mailing address

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000

Other identifiers 1

IdentifierTypeStateIssuer
0393746MedicaidNJ

Other names 1

  • St. Joseph's Regional Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paterson@sjh.cernerdirect.com Direct

National Provider Directory

National Provider Directory
Tax ID family
St Joseph's Health Inc14 organizations share this tax ID, including this one
Part of
St Joseph's Health Inc

Other organizations with this tax ID 13

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

View all 13

Locations

320 Sullivan Way
#1
Ewing, NJ 08628
Phone (609) 643-5805

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1801274634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-2000",
            "fax_number": "973-754-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SULLIVAN WAY",
            "address_2": "COTTAGE 1",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283405",
            "telephone_number": "609-643-5805",
            "fax_number": "609-643-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER",
        "enumeration_date": "2015-05-13",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "DUNAY",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "973-754-2016",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0393746",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paterson@sjh.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "St Josephs Paterson Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "320 Sullivan Way",
            "address_2": "Cottage 1",
            "city": "Ewing",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086283405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St. Joseph's Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Joseph's Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.