TRINITAS REGIONAL MEDICAL CENTER (NPI# 1184719312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184719312 |
| Entity Type | Organization |
| Organization Name | TRINITAS REGIONAL MEDICAL CENTER |
| Other Organization Name | TRINITAS HOSPITAL-RESIDENTIAL SERVICES |
| Practice Address |
655 E. Jersey Street Residential Services Elizabeth NJ 07206 |
| Mailing Address |
225 Williamson Street Physician Billing Elizabeth NJ 07207 |
| Practice Telephone | 9089945000 |
| Mailing Telephone | 9089948068 |
| Mailing Fax Number | 9089948090 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-07-02 |
| Authorized Official Name | GARY HORAN (CEO/PRESIDENT) |
| Authorized Official Telephone | 9089945000 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITAS REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | 12007 | NJ | Hospitals |
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 12007 | NJ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0096130 | 05 | |
| NJ | 0323837 | 05 |
| Other Name | Type Code |
|---|---|
| Trinitas Hospital-Residential Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376020529 | Trinitas Regional Medical Center | Community/Behavioral Health | 597 Broadway, Bayonne, NJ 07002-3818 | 2018-07-20 |
| 1750794061 | Trinitas Regional Medical Center | Psychiatric Hospital | 119 E 13th St, Linden, NJ 07036-3314 | 2014-06-04 |
| 1114138757 | Trinitas Regional Medical Center | Psychiatric Unit | 655 Livingston Avenue, Trinitas Hiv Clinc, Elizabeth, NJ 07206 | 2007-05-25 |
| 1629165204 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E Jersey Street, Youth Case Management, Elizabeth, NJ 07206 | 2006-10-06 |
| 1952301178 | Trinitas Regional Medical Center | Clinic/Center | 10 N Wood Ave, Suite G, Linden, NJ 07036-5200 | 2005-07-29 |
| 1750381976 | Trinitas Regional Medical Center | General Acute Care Hospital | 65 Jefferson Ave, 2nd Floor, Elizabeth, NJ 07201-2474 | 2005-07-29 |
| 1134129802 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2005-07-26 |
| 1518423698 | Trinitas Regional Medical Center | Clinic/Center | 205 Birchwood Ave, Cranford, NJ 07016-2515 | 2019-02-14 |
| 1386128833 | Trinitas Regional Medical Center | Community/Behavioral Health | 597 Broadway, Bayonne, NJ 07002-3818 | 2018-09-20 |
| 1275010423 | Trinitas Regional Medical Center | Community/Behavioral Health | 597 Broadway, Bayonne, NJ 07002-3818 | 2018-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRINITAS REGIONAL MEDICAL CENTER | 225 Williamson St, Elizabeth, NJ 07202-3625 |
| Street Address |
655 E. JERSEY STREET RESIDENTIAL SERVICES |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235791310 | Mars Premier Care LLC | Day Training, Developmentally Disabled Services | 210 Monsignor Kemezis Place, Elizabeth, NJ 07206 | 2019-06-28 |
| 1588151898 | Kathleen Michelle Dewyke | Psychiatry & Neurology | 654 East Jersey St, Residency Program, Elizabeth, NJ 07206 | 2018-04-23 |
| 1043501265 | Kathreen Tharwat Tadrous | Psychiatry & Neurology | 655 E. Jersey Sreet, Trinitas Regional Medical Center, Elizabeth, NJ 07206 | 2011-04-21 |
| 1558683987 | Susan Nestler Wohlgemuth | Counselor | 654 East Jersey St., Trinitas Hospital, Elizabeth, NJ 07206 | 2010-02-26 |
| 1053540807 | Krista Shea Hasenfus | Social Worker | 655 East Jersey Street, Elizabeth, NJ 07206 | 2009-07-14 |
| 1396940193 | Danielle Pompey | Social Worker | 655 East Jersey Stereet, Dept. Behavioral Health & Psychiatry, Elizabeth, NJ 07206 | 2007-06-20 |
| 1114138757 | Trinitas Regional Medical Center | Psychiatric Unit | 655 Livingston Avenue, Trinitas Hiv Clinc, Elizabeth, NJ 07206 | 2007-05-25 |
| 1376661264 | Patricia F. Traynham | Registered Nurse | New Point Campus, 655 East Jersey Avenue, Elizabeth, NJ 07206 | 2007-03-27 |
| 1629165204 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E Jersey Street, Youth Case Management, Elizabeth, NJ 07206 | 2006-10-06 |
| 1861584427 | Rambhai C Patel Md,pa | Internal Medicine | 224 E Jersey Street, Elizabeth, NJ 07206 | 2006-09-29 |
| Find all providers in zip 07206 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1568927556 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 143 Meadows Rd, Lafayette, NJ 07848-3120 | 2019-02-05 |
| 1548725534 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 23 Waterloo Rd, Stanhope, NJ 07874-3449 | 2019-02-05 |
| 1891250882 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 4 Tall Oaks Rd, Somerset, NJ 08873-3033 | 2019-02-05 |
| 1154886141 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 15 Rockleigh Dr, Ewing, NJ 08628-1516 | 2019-02-05 |
| 1366907354 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 23 Pritchard Ln, Sicklerville, NJ 08081-2013 | 2019-02-05 |
| 1114482007 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 270 Smithburg Rd, Manalapan, NJ 07726-8122 | 2019-02-05 |
| 1376008367 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 521 Townsbury Rd, Great Meadows, NJ 07838-2043 | 2019-02-05 |
| 1225593213 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 266 Jackson Mills Rd, Freehold, NJ 07728-8057 | 2019-02-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.