ST. JOSEPH'S REGIONAL MEDICAL CENTER
NPI 1033498951
General Acute Care Hospital in Clifton, NJ

NPI Status: Active since August 09, 2011

Contact Information

1135 BROAD ST STE 201
CLIFTON, NJ
ZIP 07013
Phone: (973) 754-4100

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  • Organization
  • General Acute Care Hospital
  • CLIA Number: 31D0933042
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 05-16-2027

About ST. JOSEPH'S REGIONAL MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for St. Joseph's Regional Medical Center, a provider established in Clifton, New Jersey operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1033498951 assigned on August 2011. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Micheal Delisi (Chairman/program Director)

NPI
1033498951
Provider Name
ST. JOSEPH'S REGIONAL MEDICAL CENTER
Entity Type
Organization
Location Address
1135 BROAD ST STE 201 CLIFTON, NJ 07013
Location Phone
(973) 754-4100
Mailing Address
1135 BROAD STREET, SUITE 201 CLIFTON, NJ 07013
Mailing Phone
(973) 754-4100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2011
Last Update Date
03-31-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MICHEAL DELISI

Authorized Official Title
CHAIRMAN/PROGRAM DIRECTOR
Authorized Official Phone
(973) 754-4100

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D0933042
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
May 17, 2025
Certificate Expiration Date
May 16, 2027
Laboratory Director
SHIDEH DOROUDI
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to St. Joseph's Regional Medical Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033498951
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20638916910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 8 + 9 + 1 + 6 + 9 + 1 + 0 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1033498951 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306427117DR. HUSSEIN JUMHOUR MD
Individual
Student in an Organized Health Care Education/Training Program1135 BROAD ST STE 201
CLIFTON, NJ 07013
(973) 754-4125
1134879380DR. KYRILLOS GHATTAS MD
Individual
Student in an Organized Health Care Education/Training Program1135 BROAD ST STE 201
CLIFTON, NJ 07013
(973) 754-4100
1720728835 MARIAN GHALY MBBCH
Individual
Student in an Organized Health Care Education/Training Program1135 BROAD ST STE 201
CLIFTON, NJ 07013
(973) 754-4100
1013400175DR. BIJAL S SHETH MD
Individual
Family Medicine1135 BROAD ST STE 201
CLIFTON, NJ 07013
(973) 754-4125
1891146452 OLUWASEUN AKANGBE M.D
Individual
Family Medicine1135 BROAD ST STE 201
CLIFTON, NJ 07013
(201) 379-8684
1649984634 DANIELA FRUNZA MD
Individual
Student in an Organized Health Care Education/Training Program1135 BROAD ST STE 201
CLIFTON, NJ 07013
(973) 754-4125
1235832627 JUSTIN URIAH WALTERS MD
Individual
Family Medicine1135 BROAD ST STE 201
CLIFTON, NJ 07013
(973) 754-4125
1124879275 CARLOS MENDOZA MD
Individual
Student in an Organized Health Care Education/Training Program1135 BROAD ST STE 201
CLIFTON, NJ 07013
(973) 754-4125
1417158767DR. EMMANUEL ADEKUNLE ADEDOKUN MD
Individual
General Practice1135 BROAD ST STE 201
CLIFTON, NJ 07013
(973) 754-4100
1962296095 MEHAK ZAHRA
Individual
Student in an Organized Health Care Education/Training Program1135 BROAD ST STE 201
CLIFTON, NJ 07013
(973) 754-4100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033498951, enumerated in the NPI registry as an "organization" on August 09, 2011

The provider is located at 1135 Broad St Ste 201 Clifton, Nj 07013 and the phone number is (973) 754-4100

This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X

The provider's CLIA number is 31D0933042 for a "ancillary testing site in health care center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on August 09, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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