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HOLY NAME MEDICAL CENTER INC. NPI 1104859131


NPI Information

NPI: 1104859131
Provider Name: HOLY NAME MEDICAL CENTER INC.

Former Legal Business Name: HOLY NAME HOSPITAL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
718 TEANECK RD
TEANECK, NJ
ZIP 07666
Phone: (201) 833-7013
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HOLY NAME MEDICAL CENTER INC. is a general acute care hospital in Teaneck, NJ. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. HOLY NAME MEDICAL CENTER INC. NPI is 1104859131. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Holy Name Hospital.

The provider's business location address is:

718 TEANECK RD
TEANECK, NJ
ZIP 07666-245
Phone: (201) 833-7013
Fax: (201) 833-7213

The provider's authorized official is Ryan Kennedy .
The authorized official title is Vp & Cfo and has the following contact phone number (201) 833-7016.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 12/1/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care Hospital10205NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1310008MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
24135407MEDICAIDNEW JERSEY
300325911MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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