Organization
JERSEY CITY MEDICAL CENTER
Active
Parent organization
JERSEY CITY MEDICAL CENTER
Other names
Jersey City Medical Center/AMB
Organization subpart
Yes
Provider details
NPI number
Legal business name
JERSEY CITY MEDICAL CENTER
Authorized official
MR. PAUL GOLDBERG (CHIEF FINANCIAL OFFICER)
(201) 521-5920
Entity
Organization
Contact information
Practice address
355 GRAND ST, EXECUTIVE OFFICE, JERSEY CITY, NJ 07302-4321
(201) 770-3709
(201) 770-3750
Mailing address
355 GRAND ST, EXECUTIVE OFFICE, JERSEY CITY, NJ 07302-4321
(201) 770-3709
(201) 770-3750
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10904
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00350436
NEW YORK MEDICAID
NY
05
—
4139801
—
NJ
Enumeration date
12/02/2008
Last updated
05/02/2011
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