Active NPI
Greenville Hospital
- General Acute Care Hospital
- Jersey City, NJ
National Provider Identifier
1871663039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 10903
- Legal business name
- GREENVILLE HOSPITAL
- Practice address
- 1825 Kennedy Boulevard
Ececutive Office
Jersey City, NJ 07305-2106 - Phone
- (201) 770-3709
- Fax
- (201) 770-3750
- NPI assigned
- Nov 8, 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 | 10903 | NJ | Primary |
Addresses
Primary practice location
1825 Kennedy Boulevard
Ececutive Office
Jersey City, NJ 07305-2106
Mailing address
55 Meadowlands Pkwy
2ND Floor Finance Department
Secaucus, NJ 07094-2977
Phone (201) 770-3709
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310105 | Other | NJ | HORIZON BLUE CROSS OF NJ |
| 4140702 | Medicaid | NJ | |
| HU0000045-02 | Other | NJ | AMERICHOICE MHS |
| 310105 | Other | NJ | ANTHEM GROUP NEW JERSEY |
| 99751 | Other | NJ | AMERIGROUP AMERICAID |
| H05252 | Other | NJ | OXFORD |
| 1012309 | Other | NH | HORIZON NJ HLTHCARE MERCY |
| 1015734 | Other | NJ | HORIZON NJ HLTHCARE MERCY |
| 0013075 | Other | NJ | AETNA US HEALTHCARE |
| 0004311000 | Other | NJ | AMERIHEALTH |
| J31132 | Other | NJ | HEALTH NET PHS |
| 1015735 | Other | NJ | HORIZON NJ HLTHCARE MERCY |
| 1015736 | Other | NJ | HORIZON NJ HLTHCARE MERCY |
| 4140702 | Other | NJ | CHARITY CARE UNYSIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 310105
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- LIBERTYHEALTH-GREENVILLE HOSPITAL CAMPUS
- Certification status
- Terminated Voluntary: merger or closure, Apr 23, 2008
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Oct 6, 1966
- Last certification
- May 24, 1999
- Beds
- 86
- Ownership / control type
- Other
- Facility address
- 1825 Kennedy Blvd
Jersey City, NJ 07305
National Provider Directory
National Provider DirectoryOwnership & 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.
-
- Emergency Medicine Physician
- Jersey City, NJ
- NPI 1447292727
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jersey City, NJ
- NPI 1639233257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304035200000",
"number": "1871663039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MEADOWLANDS PKWY",
"address_2": "2ND FLOOR FINANCE DEPARTMENT",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070942977",
"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": "1825 KENNEDY BOULEVARD",
"address_2": "ECECUTIVE OFFICE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073052106",
"telephone_number": "201-770-3709",
"fax_number": "201-770-3750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENVILLE HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"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": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NJ",
"license": "10903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BLUE CROSS OF NJ",
"identifier": "310105",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4140702",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE MHS",
"identifier": "HU0000045-02",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM GROUP NEW JERSEY",
"identifier": "310105",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP AMERICAID",
"identifier": "99751",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "H05252",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HLTHCARE MERCY",
"identifier": "1012309",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HLTHCARE MERCY",
"identifier": "1015734",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "0013075",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0004311000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET PHS",
"identifier": "J31132",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HLTHCARE MERCY",
"identifier": "1015735",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HLTHCARE MERCY",
"identifier": "1015736",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHARITY CARE UNYSIS",
"identifier": "4140702",
"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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.