NPIMap

Organization Active NPI

Inspira Medical Centers, Inc.

Doing business as Inspira Inpatient Adult Behavioral Health Bridgeton

  • Psychiatric Hospital Unit
  • Bridgeton, NJ
National Provider Identifier
1831143890
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
10603 Issued in NJ
Legal business name
INSPIRA MEDICAL CENTERS, INC.
Doing business as
Inspira Inpatient Adult Behavioral Health Bridgeton
Practice address
333 Irving Avenue
Bridgeton, NJ 08302-2100
Phone
(856) 575-4500
Fax
(856) 451-5269
NPI assigned
May 22, 2006
Last updated
Nov 26, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
INSPIRA MEDICAL CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Mr. James Thomas O'Connell, CPA
Title
Director of Revenue Cycle
Phone
(856) 575-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 10603 NJ Primary

Addresses

Primary practice location

333 Irving Avenue
Bridgeton, NJ 08302-2100

Mailing address

333 Irving Avenue
Bridgeton, NJ 08302-2100
Phone (856) 575-4500

Other identifiers 1

IdentifierTypeStateIssuer
3674509MedicaidNJ

Other names 1

  • Inspira Inpatient Adult Behavioral Health Bridgeton Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210525002987 NJ Part A Provider - Hospital 0345232997 1 other NPI on this enrollment
Practice locations: Bridgeton, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831143890. Details of each certification follow.

Hospital certification: CCN 31S032

Legal name
INSPIRA MEDICAL CENTERS INC
Doing business as
INSPIRA INPATIENT ADULT BEHAVIORAL HEALTH BRIDGETON
Organization structure
CorporationNon-profit
Enrollment address
333 Irving Ave
Bridgeton, NJ 83022123
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

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

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Bridgeton Hospital

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Warren E. Moore Individual Corporate OfficerPresident and Coo Jul 12, 2021 100%
W-2 Managing EmployeePresident and Coo Jul 12, 2021 100%
Operational/Managerial ControlPresident and Coo Jul 12, 2021 100%
Owen J Giryluk Individual Corporate DirectorDirector Strategic Finance Jan 1, 2022 100%
W-2 Managing EmployeeDirector Strategic Finance Jan 1, 2022
James T O'Connell Individual Corporate DirectorDirector Revenue Cycle Nov 30, 2007 100%
W-2 Managing EmployeeDirector of Revenue Cycle Nov 18, 2008 100%
Lydia Stockman Individual Corporate OfficerSr. VP and Chief Admin. Officer Jan 16, 2023 100%
W-2 Managing EmployeeSr. VP and Chief Admin. Officer Jan 16, 2023 100%
Operational/Managerial ControlSr. VP and Chief Admin. Officer Jan 16, 2023 100%
William Pelino Individual Corporate OfficerSenior VP and Cfo Feb 6, 2023 100%
W-2 Managing EmployeeSenior VP and Cfo Feb 6, 2023 100%
Operational/Managerial ControlSenior VP and Cfo Feb 6, 2023 100%
Inspira Health Network Inc Organization, Bridgeton, NJ Non-profit 5% Or Greater Direct Ownership Interest May 1, 2013 100%
Jeffrey S. Smaniotto Individual W-2 Managing EmployeeDirector Reimbursement Jul 23, 2023 100%
Amy B Mansue Individual Corporate OfficerCeo Sep 1, 2020 100%
W-2 Managing EmployeeCeo Sep 1, 2020 100%
Operational/Managerial ControlCeo Sep 1, 2020 100%

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bayada at Inspira, Home Health and HospiceMillville, NJ, CCN 317089 Home health agency 5% Or Greater Direct Ownership Interest (8%) Jun 1, 2016
Bayada at Inspira, Home Health and HospiceWest Deptford, NJ, CCN 311576 Hospice 5% Or Greater Direct Ownership Interest (8%) Jun 1, 2016

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1831143890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 IRVING AVENUE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083022100",
            "telephone_number": "856-575-4500",
            "fax_number": "856-451-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 IRVING AVENUE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083022100",
            "telephone_number": "856-575-4500",
            "fax_number": "856-451-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRA MEDICAL CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSPIRA MEDICAL CENTERS, INC.",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "856-575-4777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NJ",
            "license": "10603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3674509",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspira Inpatient Adult Behavioral Health Bridgeton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeton, NJ

Sources for this page

Verify at the official NPI Registry.