Active NPI
Jersey City Medical Center
Doing business as Jersey City Med CNTR Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jersey City, NJ
National Provider Identifier
1467688184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 10904
- Legal business name
- JERSEY CITY MEDICAL CENTER
- Doing business as
- Jersey City Med CNTR Dialysis
- Practice address
- 355 Grand St
Executive Office
Jersey City, NJ 07302-4321 - Phone
- (201) 770-3709
- Fax
- (201) 770-3750
- NPI assigned
- Jun 9, 2009
- Last updated
- May 2, 2011
- Organization subpart
- Yes
- Parent organization
- JERSEY CITY MEDICAL CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 10904 | NJ | Primary |
Addresses
Primary practice location
355 Grand St
Executive Office
Jersey City, NJ 07302-4321
Mailing address
355 Grand St
Jersey City, NJ 07302-4321
Phone (201) 770-3709
Other names 1
- JERSEY CITY MED CNTR DIALYSIS
National Provider Directory
National Provider Directory- Part of
- Jean Robe Darbouze MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304294400000",
"number": "1467688184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 GRAND ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024321",
"telephone_number": "201-770-3709",
"fax_number": "201-770-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 GRAND ST",
"address_2": "EXECUTIVE OFFICE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024321",
"telephone_number": "201-770-3709",
"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": "2009-06-09",
"last_updated": "2011-05-02",
"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": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NJ",
"license": "10904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JERSEY CITY MED CNTR DIALYSIS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Jersey City, NJ
- Jersey City Medical Care PA
- Jersey City Medical Center
- Jersey City Medical Center (Columbus Health Center-Dept of Dentistry)
- Jersey City Medical Center (Liberty Hospitalist Services)
- Jersey City Medical Center
- Jersey City Medical Center
- Jersey City Medical Center
- Jersey City Medical Center
- Jersey City Medical Center
- Jersey City Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.