Provider Demographics
NPI:1952289332
Name:SAINT PETER'S UNIVERSITY HOSPITAL
Entity type:Organization
Organization Name:SAINT PETER'S UNIVERSITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR PAYER RELATIONS
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOWLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-565-5453
Mailing Address - Street 1:254 EASTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-1766
Mailing Address - Country:US
Mailing Address - Phone:732-745-6649
Mailing Address - Fax:732-342-1414
Practice Address - Street 1:562 EASTON AVE STE B
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1900
Practice Address - Country:US
Practice Address - Phone:732-745-6649
Practice Address - Fax:732-342-1414
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAINT PETER'S UNIVERSITY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy