Active NPI
Liberty Riverside Healthcare
- Skilled Nursing Facility
- Secaucus, NJ
National Provider Identifier
1982773263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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 8, 2006
- Organization subpart
- Yes
- Parent organization
- LIBERTY RIVERSIDE HEALTHCARE
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 |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 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 names 1
- Meadowlands Hospital Medical Center
National Provider Directory
National Provider Directory- Part of
- Meadowlands Hosp Med CT
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- Secaucus, NJ
- NPI 1770662017
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": "1304467200000",
"number": "1982773263",
"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": "YES",
"parent_organization_legal_business_name": "LIBERTY RIVERSIDE HEALTHCARE",
"enumeration_date": "2006-11-08",
"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": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "10906",
"primary": true
}
],
"identifiers": [],
"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.