LIBERTY HEALTH CARE SYSTEM (NPI# 1467521039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467521039 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTH CARE SYSTEM |
| Other Organization Name | CTR FOR CHILDREN WITH SPECIAL NEEDS |
| Practice Address |
953 Garfield Avenue Jersey City NJ 07304 |
| Mailing Address |
115 Vanderveer Ave Somerville NJ 08876-2540 |
| Practice Telephone | 2019152059 |
| Practice Fax Number | 2019152551 |
| Mailing Telephone | 2019152079 |
| Mailing Fax Number | 2019152551 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-08-07 |
| Authorized Official Name | MR. RICHARD WILLIAM GOLDSMITH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2019152059 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | LIBERTY HEALTH CARE SYSYTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ctr for Children with Special Needs | Doing Business As Name - Organization |
| Street Address |
953 GARFIELD AVENUE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982798237 | Dorothy W. Bryan | Pediatrics | 953 Garfield Avenue, Jersey City, NJ 07304 | 2006-10-03 |
| 1700950482 | Liberty Health Jersy City Medical Center | Pediatrics | 953 Garfield Avenue, Jersey City, NJ 07304 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324085 | Marlon Q Lopez | Physical Therapist | 438 West Avenue, Virginia Cor Ege, Jersey, NJ 07304 | 2020-01-03 |
| 1033621842 | Dipty Mali | Physical Therapist | 520 Bergen Avenue, Jersey City, NJ 07304 | 2017-11-02 |
| 1861914434 | Eulalia Rivera | Licensed Practical Nurse | 140 Boyd Ave, Jersey City, NJ 07304 | 2017-07-14 |
| 1336509223 | Hyojin Park | Student in an Organized Health Care Education/Training Program | 935 Garfield Avenue, Metropolitan Family Health Network, Inc. - Jersey City, Jersey City, NJ 07304 | 2016-03-04 |
| 1962878413 | Hudson Milestones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13-15 Miller Street, Jersey City, NJ 07304 | 2015-08-19 |
| 1336515881 | Hudson Milestones | Day Training, Developmentally Disabled Services | 355 Clendenny Avenue, Jersey City, NJ 07304 | 2015-08-19 |
| 1922482025 | Cosmo Pharmacy LLC | Pharmacy | 402 Pacific Avenue, Jersey City, NJ 07304 | 2015-07-17 |
| 1033513171 | Walgreens | Health Maintenance Organization | 2395 John Kennedy Blvd, Jersey City, NJ 07304 | 2014-10-17 |
| 1427460138 | Medical Claims Adjustment Pros | Spec/Tech, Health Info | 79 Jewett Avenue Ste 2, Jersey City, NJ 07304 | 2014-05-29 |
| 1801133103 | Hoboken Holistic Physical Therapy and Sports Medicine LLC | Acupuncturist | 701 State Route 440 Suite 21, Jersey City, NJ 07304 | 2013-01-08 |
| Find all providers in zip 07304 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545908 | The Turning Point Psychological Services, LLC | Clinic/Center | 1540 Route 138 Ste 202, Wall, NJ 07719-3765 | 2020-10-15 |
| 1053924175 | Silver Care Agency LLC | Clinic/Center | 1770 W County Line Rd Unit 105, Lakewood, NJ 08701-1176 | 2020-08-28 |
| 1609422393 | Darrell Peter Shoulars | Clinic/Center | 10 N End Ter, Newark, NJ 07104-4404 | 2019-08-17 |
| 1942853213 | Asun Star Consulting, Inc | Clinic/Center | 554 Bloomfield Ave Ste 401, Bloomfield, NJ 07003-3307 | 2019-07-16 |
| 1124588496 | Reed Next, Inc. | Clinic/Center | 1 Dekorte Park Plaza, Lyndhurst, NJ 07071 | 2019-03-22 |
| 1013496884 | Sneha Angie Patel | Clinic/Center | 375 Ralph St, Somerset, NJ 08873-3116 | 2018-08-12 |
| 1073009338 | Lifetime Healthchoice LLC | Clinic/Center | 36 Hawthorne Pl Apt 4m, Montclair, NJ 07042-3277 | 2018-07-10 |
| 1659874675 | Nj Ecc | Clinic/Center | 31 Chamberlain Ave, Little Ferry, NJ 07643-1851 | 2018-03-15 |
| 1275046005 | Edison Sheltered Workshop, Inc. | Clinic/Center | 328 Plainfield Ave, Edison, NJ 08817-3117 | 2017-11-15 |
| 1831614528 | Providing Hope, Inc. | Clinic/Center | 120 East River Road, Suite 3, Rumson, NJ 07760 | 2017-08-03 |
| Find all providers with the same taxonomy | ||||
| City | JERSEY CITY |
| Zip Code | 07304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.