Liberty Nursing Home of Jersey City Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060903 Issued in NJ

Legal business name

LIBERTY NURSING HOME OF JERSEY CITY INC

Practice address

620 Montgomery St
Jersey City, NJ 07302-3130

Phone

(201) 435-0033

Fax

(201) 435-0655

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Israel Braunstein

Title

Cfo

Phone

(201) 435-0033

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1851492789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MONTGOMERY ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023130",
            "telephone_number": "201-435-0033",
            "fax_number": "201-435-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MONTGOMERY ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023130",
            "telephone_number": "201-435-0033",
            "fax_number": "201-435-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY NURSING HOME OF JERSEY CITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "BRAUNSTEIN",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "201-435-0033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4478908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liberty Emergency Medical Associates LLC
• Liberty Foot and Ankle Care
• Liberty Health Care System
• Liberty Health Jersy City Medical Center
• Liberty Home Care, Inc.
• Liberty Physical Health PC
• Liberty Physical Therapy PC
• Liberty Pulmonary Critical Care
• Liberty Surgical Associates
• Liberty Women OB/GYN PC

• Skilled Nursing Facility in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.