| St Josephs University Medical Center Inc. | |
|
703 Main St Paterson NJ 07503-2621 | |
| (973) 754-2000 | |
| (973) 754-2149 |
| Full Name | St Josephs University Medical Center Inc. |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 703 Main St, Paterson, New Jersey |
| Authorized Official Name and Position | Christopher Caulfield (EXECUTIVE DIRECTOR, FINANCE) |
| Authorized Official Contact | 9737542016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Josephs University Medical Center Inc. 703 Main St Paterson NJ 07503-2621 Ph: (973) 754-2000 | St Josephs University Medical Center Inc. 703 Main St Paterson NJ 07503-2621 Ph: (973) 754-2000 |
| NPI Number | 1669462420 |
|---|---|
| Provider Enumeration Date | 10/24/2005 |
| Last Update Date | 03/31/2021 |
| Medicare PECOS PAC ID | 9638062292 |
|---|---|
| Medicare Enrollment ID | O20100323000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669462420 | NPI | - | NPPES |
| 4136403 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 11605 (New Jersey) | Secondary |
| 282N00000X | General Acute Care Hospital | 11605 (New Jersey) | Primary |
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