JERSEY CITY MEDICAL CENTER (NPI# 1467688184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467688184 |
| Entity Type | Organization |
| Organization Name | JERSEY CITY MEDICAL CENTER |
| Other Organization Name | JERSEY CITY MED CNTR DIALYSIS |
| Practice Address |
355 Grand St Executive Office Jersey City NJ 07302-4321 |
| Mailing Address |
355 Grand St Jersey City NJ 07302-4321 |
| Practice Telephone | 2017703709 |
| Practice Fax Number | 2017703750 |
| Mailing Telephone | 2017703709 |
| Mailing Fax Number | 2017703750 |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2011-05-02 |
| Authorized Official Name | MR. PAUL GOLDBERG (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2015215920 |
| Is Organization Subpart | Y |
| Parent Organization Name | JERSEY CITY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
10904 | NJ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| JERSEY CITY MED CNTR DIALYSIS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588962625 | Jersey City Medical Center | General Acute Care Hospital | 1034 Kennedy Blvd, D 6, Bayonne, NJ 07002-2022 | 2011-03-13 |
| 1437573243 | Jersey City Medical Center | Pharmacy | 355 Grand St, Jersey City, NJ 07302-4321 | 2014-02-13 |
| 1659703254 | Jersey City Medical Center | General Acute Care Hospital | 355 Grand St, Jersey City, NJ 07302-4321 | 2013-08-06 |
| 1205168192 | Jersey City Medical Center | Clinic/Center | 115 Christopher Columbus Dr, Department of Dentistry, Jersey City, NJ 07302-5526 | 2010-02-03 |
| 1740428770 | Jersey City Medical Center | Psychiatric Unit | 355 Grand St, Executive Office, Jersey City, NJ 07302-4321 | 2009-01-29 |
| 1871738021 | Jersey City Medical Center | Ambulance | 355 Grand St, Executive Office, Jersey City, NJ 07302-4321 | 2008-12-02 |
| 1386897148 | Jersey City Medical Center | Hospitalist | 355 Grand St, Jersey City, NJ 07302-4321 | 2008-10-24 |
| 1619041399 | Jersey City Medical Center | General Acute Care Hospital | 355 Grand St, Jersey City, NJ 07302-4321 | 2006-11-17 |
| 1689744856 | Jersey City Medical Center | General Acute Care Hospital | 355 Grand St, Executive Office, Jersey City, NJ 07302-4321 | 2006-11-08 |
| 1497825665 | Jersey City Medical Center | Psychiatric Unit | 355 Grand St, Executive Office, Jersey City, NJ 07302-4321 | 2006-11-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JERSEY CITY MEDICAL CENTER INC | 355 Grand St, Jersey City, NJ 07304-3154 |
| Street Address |
355 GRAND ST EXECUTIVE OFFICE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07302-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175367 | Suhail N Alsheikh | Pediatrics | 355 Grand St, Jersey City, NJ 07302-4321 | 2005-06-27 |
| 1710588827 | Marlyn Alvarado | Nurse Practitioner | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-11-04 |
| 1801403027 | Maikel Herrera Ynfiesta | Nurse Practitioner | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-09-30 |
| 1740893619 | Michelle Mei | Pharmacist | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-08-28 |
| 1992316707 | Keisha Alix Hampden | Registered Nurse | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-08-14 |
| 1396356457 | Ria Charisma Samson Abadinas | Registered Nurse | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-08-12 |
| 1457979288 | Jenny Xiao | Advanced Practice Midwife | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-07-08 |
| 1073138541 | Lynne Panzica | Registered Nurse | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-06-10 |
| 1396367231 | Stephanie Salinas | Nurse Practitioner | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-05-14 |
| 1295357309 | Jonathan Gabriel | Student in an Organized Health Care Education/Training Program | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573641 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 396-420 Luis Munoz Marin Blvd., Jersey City, NJ 07302 | 2020-09-23 |
| 1679192728 | Alejo Terrence Degawan Tabur | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2020-04-09 |
| 1982263224 | Yasir Rafique Rajwana | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 - Grand Street, Jersey City, NJ 07302 | 2019-06-11 |
| 1821653866 | Flear Vaknin | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center - Obgyn, 355 Grand Street, Jersey City, NJ 07302 | 2019-05-06 |
| 1497218044 | Wolf Performance Consulting LLC | Clinic/Center | 150 Bay Street 2nd Floor - Commercial Entrance, Located Inside of 150 Bay Crossfit, Jersey City, NJ 07302 | 2019-04-10 |
| 1841769734 | Jazmin Maria Del Salto | Psychologist | 395 Grand St., Jersey City, NJ 07302 | 2018-11-20 |
| 1376024075 | Rwj Barnabashealth - Jersey City Medical Center | Psychiatric Unit | 1805 Jfk Blvd, Jersey City, NJ 07302 | 2018-08-22 |
| 1134615123 | Judith Roman | Dentist | 349 2nd St Ste B2, Jersey City, NJ 07302 | 2018-07-03 |
| 1144724873 | Banan Mohammad | Chiropractor | 190 Christopher Columbus Dr # 5c, Jersey City, NJ 07302 | 2018-03-19 |
| 1477062347 | Kingsley Ogigi Oyem | Nurse Practitioner | Rwjbarnabas Health, Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2017-09-23 |
| Find all providers in zip 07302 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821581455 | Fresenius Medical Care Jersey City, LLC | Clinic/Center | 107-123 Pacific Ave, Jersey City, NJ 07304-3217 | 2018-06-08 |
| 1235504101 | Hawn Dialysis LLC | Clinic/Center | 414 Summit Ave, Jersey City, NJ 07306-3101 | 2015-12-03 |
| 1821193608 | Bio-medical Applications of New Jersey, Inc. | Clinic/Center | 107-123 Pacific Avenue, Jersey City, NJ 07304 | 2006-09-14 |
| 1902399488 | Fresenius Medical Care Jersey City, LLC | Clinic/Center | 107-123 Pacific Ave, Jersey City, NJ 07304 | 2018-06-11 |
| 1952894586 | Fresenius Medical Care Jersey City, LLC | Clinic/Center | 29 Cottage St, Jersey City, NJ 07306 | 2018-06-08 |
| 1326411554 | Hamilton Park Dialysis Opco, LLC | Clinic/Center | 328 9th St, Jersey City, NJ 07302-1502 | 2015-11-10 |
| 1619361136 | Pershing Dialysis LLC | Clinic/Center | 422 Grand St, Jersey City, NJ 07302-4240 | 2015-03-23 |
| 1689018947 | Bio-medical Applications of New Jersey, Inc. | Clinic/Center | 29 Cottage St, Jersey City, NJ 07306-2801 | 2013-04-17 |
| 1639233257 | Greenville Hospital | Clinic/Center | 1825 Kennedy Blvd, Executive Office, Jersey City, NJ 07305-2106 | 2006-12-20 |
| 1255338455 | Hamilton Park Renal Dialysis Center, Inc. | Clinic/Center | 328 9th St, Jersey City, NJ 07302-1502 | 2005-07-01 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07302 |
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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.