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

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: August 16, 2026.

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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Other Identifiers 1

Medicaid8801011NJ

Other Providers at the Same Location NPPES 14

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

MENTAL HEALTH ASSOCIATION OF ESSEX AND MORRIS
Home Health
530 MAIN AVE
PASSAIC, NJ 07055
Passaic County (973) 470-3522
ST. MARY'S HOSPITAL
Case Management
530 MAIN AVE
PASSAIC, NJ 07055
Passaic County (973) 470-3142
ST. MARY'S HOSPITAL
Community Based Residential Treatment Facility, Mental Illness
530 MAIN AVE
PASSAIC, NJ 07055
Passaic County (973) 470-3507
MENTAL HEALTH ASSN OF ESSEX AND MORRIS
Case Manager/Care Coordinator
530 MAIN AVE
PASSAIC, NJ 07055
Passaic County (973) 470-3522
KATHLEEN FISHER LSW, LPC, ACS
Counselor (Professional)
530 MAIN AVE
PASSAIC, NJ 07055
Passaic County (973) 470-3168
PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC, LLC
Case Management
530 MAIN AVE
PASSAIC, NJ 07055
Passaic County (973) 365-3012
PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC, LLC
Community Based Residential Treatment Facility, Mental Illness
530 MAIN AVE
PASSAIC, NJ 07055
Passaic County (973) 470-3168
ADRIEL ALEMANY LSW
Social Worker
530 MAIN AVE
PASSAIC, NJ 07055
Passaic County (973) 470-3107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Mary's Hospital's NPI number?

The NPI number for St. Mary's Hospital is 1104947654. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is St. Mary's Hospital located?

St. Mary's Hospital is located at 530 Main Ave, Passaic, NJ 07055. The listed phone number is (973) 470-3165.

What is St. Mary's Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for St. Mary's Hospital was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.