Liberty Riverside Healthcare

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

10906 Issued in NJ

Legal business name

LIBERTY RIVERSIDE HEALTHCARE

Doing business as

Meadowlands Hospital Medical Center

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

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

Addresses

Other identifiers 14

Other names 1

• Meadowlands Hospital Medical Center Doing business as

Tax ID family

Meadowlands Hosp Rehab Inst2 organizations share this tax ID, including this one

Part of

Meadowlands Hosp Med CT

Other organizations with this tax ID 1

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

• Liberty Riverside Healthcare

  dba Meadowlands Hospital Medical Center

  • General Acute Care Hospital
  • Secaucus, NJ
  • NPI 1770662017
  NPD tax ID

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.

• Liberty Riverside Healthcare

  dba Meadowlands Hospital Medical Center

  • General Acute Care Hospital
  • Secaucus, NJ
  • NPI 1770662017
  NPPES parent name

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": "1992875033",
    "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": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NJ",
            "license": "10906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP NEW JERSEY",
            "identifier": "313118",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE MHS",
            "identifier": "HU0000047-02",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET PHS",
            "identifier": "J30955",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHARITY CARE",
            "identifier": "4141521",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA U S HEALTHCARE",
            "identifier": "0014073",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HLTHCARE MERCY",
            "identifier": "1012468",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HLTHCARE MERCY",
            "identifier": "1015733",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HLTHCARE MERCY",
            "identifier": "1014065",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HLTHCARE MERCY",
            "identifier": "1015732",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE CROSS",
            "identifier": "313118",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4141521",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERHEALTH",
            "identifier": "0004391000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP AMERICAID",
            "identifier": "50082",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "HL3060",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadowlands Hospital Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joonho Lee
• Noah Lee, DPT
• Liberty Rehabilitation Associates
• Liberty Riverside Healthcare (Meadowlands Hospital Medical Center)
• Liberty Riverside Healthcare (Meadowlands Hospital Medical Center)
• Lisa Bilella Certified Registered Nurseanesthetist Services of Ny PLLC
• Yao Lu
• Jaimie Lukacs
• Xhelal Lusha, MD
• Elie Lwaysi

• Rehabilitation Hospital Unit in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Rehabilitation Hospital Unit in New Jersey

• 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.