Jersey City Healthcare Providors LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060905 Issued in NJ

Legal business name

JERSEY CITY HEALTHCARE PROVIDORS LLC

Doing business as

Harborview HCC

Practice address

178 198 Ogden Avenue
Jersey City, NJ 07307-1394

Phone

(201) 963-1800

Fax

(201) 963-0018

NPI assigned

Jun 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Sam Stern

Title

Comptroller

Phone

(718) 567-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harborview HCC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1023054228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14C 53RD ST",
            "address_2": "SUITE 220",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322644",
            "telephone_number": "718-567-0400",
            "fax_number": "718-567-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 198 OGDEN AVENUE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071394",
            "telephone_number": "201-963-1800",
            "fax_number": "201-963-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY CITY HEALTHCARE PROVIDORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "718-567-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4479408",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harborview HCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.