HOLY NAME MEDICAL CENTER INC.
NPI 1104859131
General Acute Care Hospital in Teaneck, NJ

Q: What is Holy Name Medical Center Inc.'s NPI number?

The NPI number for Holy Name Medical Center Inc. is 1104859131. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider was formerly known as Holy Name Hospital.

Q: What is Holy Name Medical Center Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Active since July 10, 2006

718 TEANECK RD, TEANECK, NJ 07666(201) 833-7016(201) 833-3490 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Holy Name Medical Center Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLY NAME MEDICAL CENTER INC. (NPI 1104859131), doing business as Holy Name Hospital, is a healthcare organization registered as a general acute care hospital in Teaneck, New Jersey and active in the NPI registry since July 2006. The organization lists Doug Zehner, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104859131

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NameHOLY NAME MEDICAL CENTER INC.

Location Address718 TEANECK RDTeaneck, NJ 07666-4245

Mailing Address718 Teaneck RdTeaneck, NJ 07666-4245 · (201) 833-7013 · Fax (201) 833-7213

Phone(201) 833-7016

Fax(201) 833-3490

Organization SubpartNo

Authorized OfficialDoug ZehnerCfo · (201) 833-7016

Enumeration DateJuly 10, 2006

Last NPPES UpdateMarch 5, 2025

NPPES CertifiedMarch 5, 2025

✔ NPI 1104859131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

License✔ Licensed in NJ · 10205

Definition

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.

718 TEANECK RD, Teaneck, NJ 07666

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Other Names 1

Former Legal Business NameHoly Name Hospital

Other Identifiers 2

Medicaid00325911NY

Medicaid4135407NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holy Name Medical Center Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNew JerseyEnrollment IDO20110126000050Part A · HospitalDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JESSON ST YEH M.D.

Emergency Medicine