ST. MARY'S HOSPITAL
NPI 1104947654
Clinic/Center - Adult Mental Health in Passaic, NJ

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.

Active since April 03, 2007

530 MAIN AVE, PASSAIC, NJ 07055(973) 470-3165 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About St. Mary's Hospital NPPES

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

ST. MARY'S HOSPITAL (NPI 1104947654) is a healthcare organization registered as an adult mental health in Passaic, New Jersey and active in the NPI registry since April 2007. The organization lists Robert Bodnar, Director Or Patient Accounts, as its authorized official.

NPPES Registry Identity

NPI1104947654

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameST. MARY'S HOSPITAL

Location Address530 MAIN AVEPassaic, NJ 07055-5700

Mailing Address350 BoulevardPassaic, NJ 07055-2840 · (973) 365-3012

Phone(973) 470-3165

Organization SubpartNo

Authorized OfficialRobert BodnarDirector Or Patient Accounts · (973) 365-3012

Enumeration DateApril 3, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1104947654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

530 MAIN AVE, Passaic, NJ 07055

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