Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Saint Michael's Medical Center, Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1699777458

Saint Michael's Medical Center, Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2005.

Licensed in
NJ
In the registry since
2005
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Central Ave
Newark, NJ 07102-1909
Phone: (973) 877-5000
Fax: (973) 877-5367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 10713 (NJ)
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Taxonomy 261QE0700X · Licence 10713 (NJ)
Psychiatric Hospital Unit Taxonomy 273R00000X · Licence 10713 (NJ)

Record details

NPI number1699777458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Pettigrew — Chief Financial Officer/Chief Opera · (973) 854-3588
Other names Saint Michael'S Medical Center
NPI enumeratedAugust 11, 2005
Last updated in NPPESOctober 24, 2012
Mailing address111 Central Avenue, Newark, NJ 07102-1909

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