Cathedral Health Services, Inc

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

10711 Issued in NJ

Legal business name

CATHEDRAL HEALTH SERVICES, INC

Doing business as

Saint James Hospital

Practice address

155 Jefferson St
Newark, NJ 07105-1706

Phone

(973) 589-1300

Fax

(973) 465-2861

NPI assigned

Aug 11, 2005

Last updated

Aug 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Vasquez

Title

Administrator

Phone

(973) 589-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Saint James Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841292604. Details of each certification follow.

• CCN 310018 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 310018

Legal name

SAINT JAMES HOSPITAL

Certification status

Terminated Voluntary: merger or closure, May 1, 2008

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Feb 9, 2001

Beds

189

Ownership / control type

Church

Facility address

155 Jefferson St
Newark, NJ 07105

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Cathedral Health Services, Inc

  dba Saint Michael's Medical Center

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1164611885
  NPPES parent name

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1841292604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 JEFFERSON ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051706",
            "telephone_number": "973-589-1300",
            "fax_number": "973-465-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 JEFFERSON ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051706",
            "telephone_number": "973-589-1300",
            "fax_number": "973-465-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHEDRAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-589-1300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "10711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4136306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint James Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Stewart Cathcart, M.D.
• Cathedral Blood Research Institute PA
• Cathedral Cardiac Specialists, PC
• Cathedral Faculty Practice
• Cathedral Health Services, Inc (Saint Michael's Medical Center)
• Cathedral Physician Group, PC
• Cathedral Physician Services, P.C.
• Catholic Charities of Archiodese of Newark
• Catholic Charities of the Archdiocese of Newark
• Catholic Charities of the Archdiocese of Newark

• General Acute Care Hospital in Newark, NJ
• Providers in Newark, NJ by specialty
• General Acute Care Hospital in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.

Verify at the official NPI Registry.