NPIMap

Organization Active NPI

East Orange General Hospital

  • General Acute Care Hospital
  • East Orange, NJ
National Provider Identifier
1972934495
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
44SW00925700 Issued in NJ
Legal business name
EAST ORANGE GENERAL HOSPITAL
Practice address
300 Central Ave
East Orange, NJ 07018-2819
Phone
(973) 266-4478
Fax
(973) 266-4445
NPI assigned
Dec 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Dr. Monica C Melville-Bacon, PHD- COUNSELING
Title
Mental Health Clinician/Screener
Phone
(973) 743-3412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 44SW00925700 NJ Primary

Addresses

Primary practice location

300 Central Ave
East Orange, NJ 07018-2819

Mailing address

35 Division St
Floor 1
Bloomfield, NJ 07003-3623
Phone (973) 743-3412

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1972934495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 DIVISION ST",
            "address_2": "FLOOR 1",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033623",
            "telephone_number": "973-743-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTRAL AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182819",
            "telephone_number": "973-266-4478",
            "fax_number": "973-266-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ORANGE GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "MELVILLE-BACON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MENTAL HEALTH CLINICIAN/SCREENER",
        "authorized_official_telephone_number": "973-743-3412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD- COUNSELING"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "44SW00925700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

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