NPIMap

Organization Active NPI

St. Joseph'S Hospital & Medical Center

  • Student in an Organized Health Care Education/Training Program
  • Clifton, NJ
National Provider Identifier
1992911937
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
ST. JOSEPH'S HOSPITAL & MEDICAL CENTER
Practice address
1135 Broad St
Suite # 201
Clifton, NJ 07013-3346
Phone
(973) 754-4100
Fax
(973) 754-4191
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Dr. Michael M Delisi, MD
Title
Family Medicine Program Director
Phone
(973) 754-4121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

1135 Broad St
Suite # 201
Clifton, NJ 07013-3346

Mailing address

100 Hospital PLZ
Apt # 815
Paterson, NJ 07503-3065
Phone (201) 458-4177

Other names 1

  • St. Joseph's Regional Medical Center Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paterson@sjh.cernerdirect.com Direct

National Provider Directory

National Provider Directory
Tax ID family
St Joseph'S Health Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1992911937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL PLZ",
            "address_2": "APT # 815",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075033065",
            "telephone_number": "201-458-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 BROAD ST",
            "address_2": "SUITE # 201",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133346",
            "telephone_number": "973-754-4100",
            "fax_number": "973-754-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S HOSPITAL & MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "DELISI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FAMILY MEDICINE PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "973-754-4121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paterson@sjh.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "St Josephs Paterson Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1135 Broad St",
            "address_2": "Suite # 201",
            "city": "Clifton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070133346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St. Joseph's Regional Medical Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "St. Joseph's Regional Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.