Organization Active NPI

Liberty Health Care System

  • Developmental Disabilities Clinic/Center
  • Jersey City, NJ
National Provider Identifier
1467521039
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
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 SYSYTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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)CodeLicenseStatePrimary
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 Doing business as

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

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.

Verify at the official NPI Registry.