Greenville Hospital

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

10903 Issued in NJ

Legal business name

GREENVILLE HOSPITAL

Practice address

1825 Kennedy Blvd
Executive Office
Jersey City, NJ 07305-2106

Phone

(201) 770-3709

Fax

(201) 770-3750

NPI assigned

Dec 20, 2006

Organization subpart

Yes

Parent organization

GREENVILLE HOSPITALAs reported in NPPES

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

Addresses

Part of

Surriaya I Kahnum

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Greenville Hospital

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1871663039
  NPPES parent name

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1639233257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MEADOWLANDS PKWY",
            "address_2": "2ND FLOOR FINANCE DEPARTMENT",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942977",
            "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": "1825 KENNEDY BLVD",
            "address_2": "EXECUTIVE OFFICE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052106",
            "telephone_number": "201-770-3709",
            "fax_number": "201-770-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENVILLE HOSPITAL",
        "enumeration_date": "2006-12-20",
        "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": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NJ",
            "license": "10903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Health Services Inc
• Green Park Assisted Living
• Julie Anne Green, LCSW
• Paula L. Greenhowe
• Greenville Hospital
• Greenville Hospital
• Greenville Medical Center LLC
• Greenville Pharmacy Business LLC
• Greenville Pharmacy LLC
• Laura Greer

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New Jersey

• 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.