| Organization Name: | ST. MICHAELS MEDICAL CENTER |
| NPI Number: | 1104227990 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON SHAYNE DAZLEY (INTERNAL MEDICINE PHYSICIAN) |
| Mailing Address: | 927 Ridgewood Rd Millburn |
| State: | NJ US |
| Postal Code: | 070411441 |
| Phone Number: | 7322598446 |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2014 |
| NPI Last Update Date: | 09/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 281P00000X |
| License Number: | 25MA09562500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Chronic Disease Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |