Active NPI
St. Joseph Hospital
- General Acute Care Hospital
- Cheektowaga, NY
National Provider Identifier
1811935869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 145500H
- Legal business name
- ST. JOSEPH HOSPITAL
- Practice address
- 2605 Harlem Rd
Cheektowaga, NY 14225-4018 - Phone
- (716) 891-2400
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James M Millard
- Title
- Ceo
- Phone
- (716) 891-2504
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 145500H | NY | Primary |
Addresses
Primary practice location
2605 Harlem Rd
Cheektowaga, NY 14225-4018
Mailing address
2605 Harlem Rd
Cheektowaga, NY 14225-4018
Phone (716) 891-2400
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00011413701 | Other | NY | UNIVERA HEALTHCARE |
| 053 | Other | NY | HEALTHNOW |
| 21 | Other | NY | INDEPENDENT HEALTH |
| 00354581 | Medicaid | NY | |
| 040401000065 | Other | NY | FIDELIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 330091
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- ST JOSEPH HOSPITAL OF CHEEKTOWAGA NEW YORK
- Certification status
- Terminated Voluntary: merger or closure, Mar 31, 2009
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Sep 14, 2007
- Beds
- 123
- Ownership / control type
- Church
- Facility address
- 2605 Harlem Road
Cheektowaga, NY 14225
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1235169848
-
- Otolaryngology Physician
- Williamsville, NY
- NPI 1306899380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811935869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 HARLEM RD",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142254018",
"telephone_number": "716-891-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 HARLEM RD",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142254018",
"telephone_number": "716-891-2400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOSEPH HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MILLARD",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "716-891-2504"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NY",
"license": "145500H",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA HEALTHCARE",
"identifier": "00011413701",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNOW",
"identifier": "053",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "21",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00354581",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040401000065",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheektowaga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.