Provider Demographics
NPI:1851530372
Name:ST JOSEPHS HOSPITAL AND MEDICAL CENTER
Entity Type:Organization
Organization Name:ST JOSEPHS HOSPITAL AND MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEELAM
Authorized Official - Middle Name:
Authorized Official - Last Name:THAPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-683-1844
Mailing Address - Street 1:120 RICHFIELD TER
Mailing Address - Street 2:A
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1324
Mailing Address - Country:US
Mailing Address - Phone:718-683-1844
Mailing Address - Fax:973-754-2546
Practice Address - Street 1:120 RICHFIELD TER
Practice Address - Street 2:A
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-1324
Practice Address - Country:US
Practice Address - Phone:718-683-1844
Practice Address - Fax:973-754-2546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-05
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren