Active NPI
Liberty Riverside Healthcare
- General Acute Care Hospital
- Secaucus, NJ
National Provider Identifier
1770662017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 10906
- Legal business name
- LIBERTY RIVERSIDE HEALTHCARE
- Practice address
- 55 Meadowlands Pkwy
Secaucus, NJ 07094-2977 - Phone
- (201) 770-3709
- Fax
- (201) 770-3750
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
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 |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 10906 | NJ | Primary |
Addresses
Primary practice location
55 Meadowlands Pkwy
Secaucus, NJ 07094-2977
Mailing address
1 Harmon Meadow Blvd
Suite 301
Secaucus, NJ 07094-3600
Phone (201) 770-3709
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004391000 | Other | NJ | AMERIHEALTH |
| 310118 | Other | NJ | BLUE CROSS |
| 0014073 | Other | NJ | AETNAUS HEALTHCARE |
| 1012468 | Other | NJ | HORIZON NJ HLTHCARE MERCY |
| 1014065 | Other | NJ | HORIZON NJ HLTHCARE MERCY |
| 4141504 | Other | NJ | CHARITY CARE |
| 1015732 | Other | NJ | HORIZON NJ HLTHCARE MERCY |
| 1015733 | Other | NJ | HORIZON NJ HLTHCARE MERCY |
| 4141504 | Medicaid | NJ | |
| 50082 | Other | NJ | AMERIGROUP AMERICAID |
| J30955 | Other | NJ | HEALTH PHS |
| 310118 | Other | NJ | ANTHEM GROUP NEW JERSEY |
Other names 1
- Meadowlands Hospital Medical Center
National Provider Directory
National Provider Directory- Tax ID family
- Meadowlands Hosp Rehab Inst
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Hospital Unit
- Secaucus, NJ
- NPI 1992875033
Locations
1 Harmon Meadow Blvd
Ste 301
Secaucus, NJ 07094
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Skilled Nursing Facility
- Secaucus, NJ
- NPI 1982773263
-
- Rehabilitation Hospital Unit
- Secaucus, NJ
- NPI 1992875033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304467200000",
"number": "1770662017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HARMON MEADOW BLVD",
"address_2": "SUITE 301",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070943600",
"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": "55 MEADOWLANDS PKWY",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070942977",
"telephone_number": "201-770-3709",
"fax_number": "201-770-3750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY RIVERSIDE HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2011-05-04",
"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": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NJ",
"license": "10906",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0004391000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "310118",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNAUS HEALTHCARE",
"identifier": "0014073",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HLTHCARE MERCY",
"identifier": "1012468",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HLTHCARE MERCY",
"identifier": "1014065",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHARITY CARE",
"identifier": "4141504",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HLTHCARE MERCY",
"identifier": "1015732",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HLTHCARE MERCY",
"identifier": "1015733",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4141504",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP AMERICAID",
"identifier": "50082",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PHS",
"identifier": "J30955",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM GROUP NEW JERSEY",
"identifier": "310118",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Meadowlands Hospital Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Secaucus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.