NPIMap

Organization Active NPI

Jersey City Medical Center

  • Psychiatric Hospital Unit
  • Jersey City, NJ
National Provider Identifier
1740428770
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
JERSEY CITY MEDICAL CENTER
Practice address
355 Grand St
Executive Office
Jersey City, NJ 07302-4321
Phone
(201) 915-2000
Fax
(201) 770-3750
NPI assigned
Jan 29, 2009
Organization subpart
Yes
Parent organization
JERSEY CITY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

355 Grand St
Executive Office
Jersey City, NJ 07302-4321

Mailing address

355 Grand St
Executive Office
Jersey City, NJ 07302-4321
Phone (201) 915-2000

Other identifiers 1

IdentifierTypeStateIssuer
7662904MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Jean Robe Darbouze MD10 organizations share this tax ID, including this one
Part of
Jean Robe Darbouze MD

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1740428770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 GRAND ST",
            "address_2": "EXECUTIVE OFFICE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024321",
            "telephone_number": "201-915-2000",
            "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": "201-915-2000",
            "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": "2009-01-29",
        "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": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7662904",
            "state": "NJ"
        }
    ],
    "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 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.