NPIMap

Organization Active NPI

Saint Clare'S Hospital, Inc

  • Special Hospital
  • Boonton, NJ
National Provider Identifier
1861780116
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
21403 Issued in NJ
Legal business name
SAINT CLARE'S HOSPITAL, INC
Practice address
130 Powerville Rd
Boonton, NJ 07005-8705
Phone
(973) 299-5474
Fax
(973) 316-1839
NPI assigned
Jul 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Mr. Gordon King
Title
Cfo
Phone
(973) 299-5474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 21403 NJ Primary

Addresses

Primary practice location

130 Powerville Rd
Boonton, NJ 07005-8705

Mailing address

130 Powerville Rd
Boonton, NJ 07005-8705
Phone (973) 299-5474

Other identifiers 1

IdentifierTypeStateIssuer
0221431MedicaidNJ

Other names 1

  • Saint Clare's Hospital Medical Behavioral Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Saint Clare'S Community Health Center21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1861780116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 POWERVILLE RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058705",
            "telephone_number": "973-299-5474",
            "fax_number": "973-316-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 POWERVILLE RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058705",
            "telephone_number": "973-299-5474",
            "fax_number": "973-316-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT CLARE'S HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "973-299-5474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NJ",
            "license": "21403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0221431",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Clare's Hospital Medical Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.