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Organization
LIBERTY RIVERSIDE HEALTHCARE
Active
Organization
LIBERTY RIVERSIDE HEALTHCARE
Active
Parent organization
LIBERTY RIVERSIDE HEALTHCARE
Other names
Meadowlands Hospital Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIBERTY RIVERSIDE HEALTHCARE
Authorized official
MR. PAUL GOLDBERG (CHIEF FINANCIAL OFFICER)
(201) 521-5920
Entity
Organization
Contact information
Practice address
55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2977
(201) 770-3709
(201) 770-3750
Mailing address
1 HARMON MEADOW BLVD, SUITE 301, SECAUCUS, NJ 07094-3600
(201) 770-3709
(201) 770-3750
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
10906
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004391000
AMERHEALTH
NJ
01
—
0014073
AETNA U S HEALTHCARE
NJ
01
—
1012468
HORIZON NJ HLTHCARE MERCY
NJ
01
—
1014065
HORIZON NJ HLTHCARE MERCY
NH
01
—
1015732
HORIZON NJ HLTHCARE MERCY
NJ
01
—
1015733
HORIZON NJ HLTHCARE MERCY
NJ
01
—
313118
ANTHEM GROUP NEW JERSEY
NJ
01
—
4141521
CHARITY CARE
NJ
05
—
4141521
—
NJ
01
—
50082
AMERIGROUP AMERICAID
NJ
01
—
HL3060
OXFORD HEALTH
NJ
01
—
HU0000047-02
AMERICHOICE MHS
NJ
01
—
J30955
HEALTH NET PHS
NJ
Enumeration date
11/08/2006
Last updated
05/04/2011
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