Organization Active NPI

Forrest S. Chilton 3Rd Memorial Hospital Association

  • Psychiatric Hospital Unit
  • Pompton Plains, NJ
National Provider Identifier
1902940901
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
FACILITY 11401 Issued in NJ
Legal business name
FORREST S. CHILTON 3RD MEMORIAL HOSPITAL ASSOCIATION
Practice address
97 West Parkway
Pompton Plains, NJ 07444-1647
Phone
(973) 831-5202
Fax
(973) 831-5493
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Mr. Michael A Richetti, C.P.A.
Title
Chief Financial Officer
Phone
(973) 831-5202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X FACILITY 11401 NJ Primary

Addresses

Primary practice location

97 West Parkway
Pompton Plains, NJ 07444-1647

Mailing address

97 West Parkway
Pompton Plains, NJ 07444-1647
Phone (973) 831-5202

Other identifiers 1

IdentifierTypeStateIssuer
4136225MedicaidNJ

Other names 1

  • Chilton Memorial Hospital Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1902940901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 WEST PARKWAY",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441647",
            "telephone_number": "973-831-5202",
            "fax_number": "973-831-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 WEST PARKWAY",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441647",
            "telephone_number": "973-831-5202",
            "fax_number": "973-831-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORREST S. CHILTON 3RD MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "RICHETTI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "973-831-5202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.A."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NJ",
            "license": "FACILITY 11401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4136225",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chilton Memorial Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pompton Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.