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ST. MARY'S HOSPITAL
NPI 1750402202
Residential Treatment Facility, Emotionally Disturbed Children in Passaic, NJ

Active since April 03, 2007
33 MINERAL SPRING AVE, PASSAIC, NJ 07055(973) 470-3181 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 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 1750402202) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Passaic, New Jersey and active in the NPI registry since April 2007. The organization lists Robert Bodnar, Director Of Patient Accounts, as its authorized official.

NPPES Registry Identity

NPI1750402202
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameST. MARY'S HOSPITAL
Location Address33 MINERAL SPRING AVEPassaic, NJ 07055-2512
Mailing Address350 BoulevardPassaic, NJ 07055-2840 · (973) 365-3012
Phone(973) 470-3181
Organization SubpartNo
Authorized OfficialRobert BodnarDirector Of Patient Accounts · (973) 365-3012
Enumeration DateApril 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1750402202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in NJ · 30407R05Y107
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
33 MINERAL SPRING AVE, Passaic, NJ 07055
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Other Identifiers 1

Medicaid8368902NJ

Other Providers at the Same Location NPPES

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

PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC, LLC
Residential Treatment Facility, Emotionally Disturbed Children
33 MINERAL SPRING AVE
PASSAIC, NJ 07055
Passaic County (973) 773-3005

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 1750402202. 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 33 Mineral Spring Ave, Passaic, NJ 07055. The listed phone number is (973) 470-3181.

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

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

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.