Organization Active NPI

Liberty Riverside Healthcare

  • Skilled Nursing Facility
  • Secaucus, NJ
National Provider Identifier
1982773263
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10906 Issued in NJ
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 HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2011

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)CodeLicenseStatePrimary
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 Doing business as

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.

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.

Verify at the official NPI Registry.