NPIMap

Organization Active NPI

Trinitas Regional Medical Center - Sleep Disorder Center

  • Sleep Medicine (Internal Medicine) Physician
  • Elizabeth, NJ
National Provider Identifier
1912308925
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
1174 Issued in NJ
Legal business name
TRINITAS REGIONAL MEDICAL CENTER - SLEEP DISORDER CENTER
Practice address
225 Williamson Street
Elizabeth, NJ 07207
Phone
(908) 994-5049
NPI assigned
Sep 9, 2014
Last updated
Sep 9, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITAS REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Mr. Gary S Horan
Title
President & Ceo
Phone
(908) 994-5457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 1174 NJ Primary

Addresses

Primary practice location

225 Williamson Street
Elizabeth, NJ 07207

Mailing address

225 Williamson Street
Elizabeth, NJ 07207
Phone (908) 994-5000

National Provider Directory

National Provider Directory
Tax ID family
TRMC Children's in-Home Supports40 organizations share this tax ID, including this one
Part of
TRMC Children's in-Home Supports

Other organizations with this tax ID 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1912308925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WILLIAMSON STREET",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07207",
            "telephone_number": "908-994-5000",
            "fax_number": "908-994-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WILLIAMSON STREET",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07207",
            "telephone_number": "908-994-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITAS REGIONAL MEDICAL CENTER - SLEEP DISORDER CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITAS REGIONAL MEDICAL CENTER",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "HORAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "908-994-5457",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "1174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.