NPIMap

Organization Active NPI

Jersey City Medical Center

Doing business as Columbus Health Center-Dept of Dentistry

  • Dental Clinic/Center
  • Jersey City, NJ
National Provider Identifier
1205168192
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10904 Issued in NJ
Legal business name
JERSEY CITY MEDICAL CENTER
Doing business as
Columbus Health Center-Dept of Dentistry
Practice address
115 Christopher Columbus Dr
Department of Dentistry
Jersey City, NJ 07302-5526
Phone
(201) 369-3228
Fax
(201) 770-3750
NPI assigned
Feb 3, 2010
Organization subpart
Yes
Parent organization
JERSEY CITY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Mr. Paul Goldberg
Title
Chief Financial Officer
Phone
(201) 521-5920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 10904 NJ Primary

Addresses

Primary practice location

115 Christopher Columbus Dr
Department of Dentistry
Jersey City, NJ 07302-5526

Mailing address

355 Grand St
Executive Suite
Jersey City, NJ 07302-4321
Phone (201) 915-2000

Other names 1

  • Columbus Health Center-Dept of Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JCMC Physician SVC10 organizations share this tax ID, including this one
Part of
JCMC Physician SVC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1205168192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 GRAND ST",
            "address_2": "EXECUTIVE SUITE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024321",
            "telephone_number": "201-915-2000",
            "fax_number": "201-770-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CHRISTOPHER COLUMBUS DR",
            "address_2": "DEPARTMENT OF DENTISTRY",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025526",
            "telephone_number": "201-369-3228",
            "fax_number": "201-770-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY CITY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JERSEY CITY MEDICAL CENTER",
        "enumeration_date": "2010-02-03",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "201-521-5920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "10904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Health Center-Dept of Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.