Organization
LIBERTY RIVERSIDE HEALTHCARE
Active
Other names
Meadowlands Hospital Medical Center
Organization subpart
No
Provider details
NPI number
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
282N00000X
General Acute Care Hospital
Primary
10906
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004391000
AMERIHEALTH
NJ
01
—
0014073
AETNAUS HEALTHCARE
NJ
01
—
1012468
HORIZON NJ HLTHCARE MERCY
NJ
01
—
1014065
HORIZON NJ HLTHCARE MERCY
NJ
01
—
1015732
HORIZON NJ HLTHCARE MERCY
NJ
01
—
1015733
HORIZON NJ HLTHCARE MERCY
NJ
01
—
310118
BLUE CROSS
NJ
01
—
4141504
CHARITY CARE
NJ
05
—
4141504
—
NJ
01
—
50082
AMERIGROUP AMERICAID
NJ
01
—
J30955
HEALTH PHS
NJ
Enumeration date
11/06/2006
Last updated
05/04/2011
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