NPIMap

Organization Active NPI

Greenville Medical Center LLC

  • Licensed Practical Nurse
  • Jersey City, NJ
National Provider Identifier
1679943088
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
26NJ00436100 Issued in NJ
Legal business name
GREENVILLE MEDICAL CENTER LLC
Practice address
450 Ocean Ave
Jersey City, NJ 07305-3274
Phone
(201) 547-3550
NPI assigned
Sep 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Mr. David W Newton, ACNP
Title
Owner
Phone
(201) 547-3550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 26NJ00436100 NJ Primary

Addresses

Primary practice location

450 Ocean Ave
Jersey City, NJ 07305-3274

Mailing address

450 Ocean Ave
Jersey City, NJ 07305-3274
Phone (201) 547-3550

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1679943088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 OCEAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073053274",
            "telephone_number": "201-547-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 OCEAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073053274",
            "telephone_number": "201-547-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-547-3550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACNP"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NJ00436100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 17, 2015; 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.