NPIMap

Organization Active NPI

NJ Golden Home Care

  • Home Health Agency
  • Jersey City, NJ
National Provider Identifier
1851775415
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NJ GOLDEN HOME CARE
Practice address
910 Bergen Ave
Ste 206
Jersey City, NJ 07306-4314
Phone
(201) 918-5521
Fax
(201) 984-0700
NPI assigned
Jul 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Hatem Abdelaziz
Title
Director
Phone
(973) 390-8768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

910 Bergen Ave
Ste 206
Jersey City, NJ 07306-4314

Mailing address

910 Bergen Ave
Ste 206
Jersey City, NJ 07306-4314
Phone (201) 918-5521

Other identifiers 1

IdentifierTypeStateIssuer
0547166MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
NJ Golden Home Care7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

910 Bergen Ave
Ste 206
Jersey City, NJ 07306
Phone (201) 918-5521

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1851775415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 BERGEN AVE",
            "address_2": "STE 206",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064314",
            "telephone_number": "201-918-5521",
            "fax_number": "201-984-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BERGEN AVE",
            "address_2": "STE 206",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064314",
            "telephone_number": "201-918-5521",
            "fax_number": "201-984-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ GOLDEN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "ABDELAZIZ",
        "authorized_official_first_name": "HATEM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-390-8768"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0547166",
            "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 Mar 9, 2017; 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.