# JERSEY CITY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JERSEY CITY MEDICAL CENTER
- **Other names:** Jersey City Medical Center/AMB
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871738021
- **Legal business name:** JERSEY CITY MEDICAL CENTER
- **Authorized official:** MR. PAUL GOLDBERG (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (201) 521-5920

## Contact information

- **Practice address:** 355 GRAND ST, EXECUTIVE OFFICE, JERSEY CITY, NJ 07302-4321
- **Practice address phone:** (201) 770-3709
- **Practice address fax:** (201) 770-3750
- **Mailing address:** 355 GRAND ST, EXECUTIVE OFFICE, JERSEY CITY, NJ 07302-4321
- **Mailing address phone:** (201) 770-3709
- **Mailing address fax:** (201) 770-3750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 10904 | NJ | Yes |

## Other

- **Enumeration date:** 12/02/2008
- **Last updated:** 05/02/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00350436 | NEW YORK MEDICAID | NY |
| 05 | — | 4139801 | — | NJ |