OrganizationActive
St. Mary'S Hospital
NPI 1578684023 · Mental Illness Community Based Residential Treatment Facility · Passaic, NJ
Provider details
- NPI number
- 1578684023
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Robert Bodnar, Director of Patient Accounts(973) 365-3012
- License
- 30407 R05 00 41 (NJ)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 30407 R05 00 41 (NJ)
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
530 Main Ave
Passaic, NJ 07055-5700
Phone: (973) 470-3507
Street-level locationGet directions
Mailing address
350 Boulevard
Passaic, NJ 07055-2840
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.