SAINT MICHAEL'S MEDICAL CENTER (NPI# 1740558832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740558832 |
| Entity Type | Organization |
| Organization Name | SAINT MICHAEL'S MEDICAL CENTER |
| Practice Address |
155 Jefferson St Newark NJ 07105-1706 |
| Mailing Address |
111 Central Ave Newark NJ 07102-1909 |
| Practice Telephone | 9738772853 |
| Mailing Telephone | 9738772853 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |
| Authorized Official Name | MR. MICHAEL ALWELL (VP OF REVENUE CYCLE) |
| Authorized Official Telephone | 9738772853 |
| Is Organization Subpart | Y |
| Parent Organization Name | CATHOLIC HEALTH EAST |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 10713 | NJ | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | PSYCHIATRIC UNIT | 31S096 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932648722 | Saint Michael's Medical Center | General Acute Care Hospital | 111 Central Ave, Newark, NJ 07102-1909 | 2017-02-14 |
| 1710329917 | Saint Michael's Medical Center | Chronic Disease Hospital | 111 Central Ave, Cardiology Dept. Fifth Floor, Newark, NJ 07102-1909 | 2013-07-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAINT MICHAEL'S MEDICAL CENTER | 111 Central Ave, Newark, NJ 07102-1909 |
| Street Address |
155 JEFFERSON ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07105-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548260557 | Elm Street Hospital Physicians, P.a. | General Practice | 155 Jefferson St, Newark, NJ 07105-1706 | 2005-08-01 |
| 1316478399 | Fady Sorial | Pharmacist | 155 Jefferson St, Newark, NJ 07105-1706 | 2017-03-22 |
| 1588033641 | Pharmaceutical Prescription Service, LLC | Pharmacy | 155 Jefferson St, Newark, NJ 07105-1706 | 2015-09-18 |
| 1922371079 | Bell Med PC | Psychiatry & Neurology | 155 Jefferson St, 5th Floor, Newark, NJ 07039 | 2012-02-21 |
| 1790081255 | Life At Saint Michael's Inc. | Clinic/Center | 155 Jefferson St, Newark, NJ 07105-1706 | 2011-02-01 |
| 1336467539 | Belinda Luce Smith | Nurse Practitioner | 155 Jefferson St, 3rd Floor-newark Community Health Centers, Inc., Newark, NJ 07105-1706 | 2010-05-12 |
| 1093942153 | Newark Community Health Centers, Inc | Clinic/Center | 155 Jefferson St, Newark, NJ 07105-1706 | 2009-06-16 |
| 1205030301 | Marcelo Esguerra Jr. | Physical Therapist | 155 Jefferson St, Newark, NJ 07105-1706 | 2007-06-13 |
| 1780890814 | Leon G. Smith Jr. Md, LLC | Specialist | 155 Jefferson St, Newark, NJ 07105-1706 | 2007-05-15 |
| 1083782890 | Essex Ironbound Anesthesiologist, LLC | Anesthesiology | 155 Jefferson St, Newark, NJ 07105-1706 | 2006-12-01 |
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|---|---|---|---|---|
| 1053802819 | Ferry Pharmacy | Pharmacy | 165 Ferry St, Newark, NJ 07105 | 2018-05-28 |
| 1467969287 | Gabriela Cristina Celeiro | Social Worker | 243 East Kinney Street, Newark, NJ 07105 | 2018-01-02 |
| 1194238899 | Astra Health Center of Newark LLC | Internal Medicine | 41 Wilson Ave., Newark Nj, NJ 07105 | 2017-11-16 |
| 1760909501 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 140 42 Ferry St, Newark, NJ 07105 | 2017-08-23 |
| 1487185286 | Mercy Drive Regional Corporation | Day Training, Developmentally Disabled Services | 498-500 Ferry Street 1st Floor, Newark, NJ 07105 | 2017-03-23 |
| 1891236329 | Mercy Drive Regional Corporation | Home Health | 498 Ferry Street, Newark, NJ 07105 | 2017-03-16 |
| 1073968640 | Neha Rajkotia | Physical Therapist | 360 Avenue P, Preferred Freezer Bldg, 3rd Floor Immedicare, Newark, NJ 07105 | 2016-05-02 |
| 1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
| 1982099602 | Fermin Alejandro Padron | Pharmacist | 140-42 Ferry Street, Newark, NJ 07105 | 2015-03-31 |
| 1598162968 | Peak Chiropractic & Wellness LLC | Chiropractor | 411 419 Chestnut St, 1a, Newark, NJ 07105 | 2014-12-01 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
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|---|---|---|---|---|
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| 1043457955 | Newark Beth Israel Medical Center Inc | Psychiatric Unit | 201 Lyons Ave, Newark, NJ 07112-2027 | 2009-01-14 |
| 1902989221 | Newark Wayne Community Hospital | Psychiatric Unit | 1200 Driving Park Ave, Newark, NY 14513-1057 | 2006-10-23 |
| 1215027966 | Newark Beth Israel Medical Center Inc | Psychiatric Unit | 201 Lyons Ave, Newark, NJ 07112 | 2006-10-13 |
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| 1114138757 | Trinitas Regional Medical Center | Psychiatric Unit | 655 Livingston Avenue, Trinitas Hiv Clinc, Elizabeth, NJ 07206 | 2007-05-25 |
| 1285630087 | Virtua Willingboro Hospital, Inc. | Psychiatric Unit | 218a Sunset Road, Willingboro, NJ 08046-1110 | 2005-06-27 |
| 1790789212 | Ahs Hospital Corp | Psychiatric Unit | 175 High St, Newton, NJ 07860-1004 | 2005-06-13 |
| 1831722586 | Prime Healthcare Services - St. Mary's Passaic LLC | Psychiatric Unit | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-02-20 |
| 1932747326 | Inspira Medical Centers, Inc. | Psychiatric Unit | 509 N Broad St, Woodbury, NJ 08096-1617 | 2019-12-16 |
| 1053894022 | Hmh Hospitals Corporation | Psychiatric Unit | 1945 Route 33, Neptune, NJ 07753-4859 | 2018-09-14 |
| 1174035604 | Ahs Hospital Corp. | Psychiatric Unit | 175 High St, Newton, NJ 07860-1004 | 2017-10-24 |
| 1790225761 | Meridian Hospitals | Psychiatric Unit | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2017-02-24 |
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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.