# GREENVILLE MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679943088
- **Authorized official:** MR. DAVID W NEWTON ACNP (OWNER)
- **Authorized official phone:** (201) 547-3550

## Contact information

- **Practice address:** 450 OCEAN AVE, JERSEY CITY, NJ 07305-3274
- **Practice address phone:** (201) 547-3550
- **Mailing address:** 450 OCEAN AVE, JERSEY CITY, NJ 07305-3274
- **Mailing address phone:** (201) 547-3550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 26NJ00436100 | NJ | Yes |

## Other

- **Enumeration date:** 09/28/2015
- **Last updated:** 12/17/2015