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Contact Information

JERSEY CITY MEDICAL CENTER
355 GRAND ST
EXECUTIVE OFFICE
JERSEY CITY, NJ07302-4321
 Phone: 201-770-3709
 Fax: 201-770-3750
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for JERSEY CITY MEDICAL CENTER

NPI Number 1871738021
LBN Legal business name JERSEY CITY MEDICAL CENTER
Authorized official PAUL GOLDBERG - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/02/2008
Last updated 05/02/2011 - About 15 years ago
Identifiers
NJ License # 10904
NJ Medicaid 4139801
NY Other 00350436 NEW YORK MEDICAID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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