Active NPI
Liberty Health Care System
- Developmental Disabilities Clinic/Center
- Jersey City, NJ
National Provider Identifier
1467521039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- LIBERTY HEALTH CARE SYSTEM
- Practice address
- 953 Garfield Avenue
Jersey City, NJ 07304 - Phone
- (201) 915-2059
- Fax
- (201) 915-2551
- NPI assigned
- Nov 7, 2006
- Organization subpart
- Yes
- Parent organization
- LIBERTY HEALTH CARE SYSYTEM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard William Goldsmith, MD
- Title
- Medical Director
- Phone
- (201) 915-2059
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary |
Addresses
Primary practice location
953 Garfield Avenue
Jersey City, NJ 07304
Mailing address
115 Vanderveer Ave
Somerville, NJ 08876-2540
Phone (201) 915-2079
Other names 1
- Ctr for Children with Special Needs
National Provider Directory
National Provider Directory- Part of
- Liberty Health Care System
Locations
953 Garfield Ave
Jersey City, NJ 07304
Phone (201) 915-2059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218067200000",
"number": "1467521039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 VANDERVEER AVE",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088762540",
"telephone_number": "201-915-2079",
"fax_number": "201-915-2551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "953 GARFIELD AVENUE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07304",
"telephone_number": "201-915-2059",
"fax_number": "201-915-2551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY HEALTH CARE SYSTEM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIBERTY HEALTH CARE SYSYTEM",
"enumeration_date": "2006-11-07",
"last_updated": "2008-08-07",
"status": "A",
"authorized_official_last_name": "GOLDSMITH",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "201-915-2059",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ctr for Children with Special Needs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jersey City, NJ
- Liberty Child and Adolescent Health Services
- Liberty Chiropractic and Physical Therapy
- Liberty Diagnostic Pathology PA
- Liberty Emergency Medical Associates LLC
- Liberty Foot and Ankle Care
- Liberty Health Jersy City Medical Center
- Liberty Home Care, Inc.
- Liberty Nursing Home of Jersey City Inc
- Liberty Physical Health PC
- Liberty Physical Therapy PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.