GREENVILLE HOSPITAL (NPI# 1639233257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639233257 |
| Entity Type | Organization |
| Organization Name | GREENVILLE HOSPITAL |
| Practice Address |
1825 Kennedy Blvd Executive Office Jersey City NJ 07305-2106 |
| Mailing Address |
55 Meadowlands Pkwy 2nd Floor Finance Department Secaucus NJ 07094-2977 |
| Practice Telephone | 2017703709 |
| Practice Fax Number | 2017703750 |
| Mailing Telephone | 2017703709 |
| Mailing Fax Number | 2017703750 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2011-04-29 |
| Authorized Official Name | MR. PAUL GOLDBERG (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2015215920 |
| Is Organization Subpart | Y |
| Parent Organization Name | GREENVILLE HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
10903 | NJ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871663039 | Greenville Hospital | General Acute Care Hospital | 1825 Kennedy Boulevard, Ececutive Office, Jersey City, NJ 07305-2106 | 2006-11-08 |
| 1447292727 | Greenville Hospital | Emergency Medicine | 1825 Kennedy Blvd, Jersey City, NJ 07305-2106 | 2006-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Greenville Hospitality Group LLC | 401 Harrison Oaks Blvd, Suite 305, Cary, NC 27513 |
| North Carolina Corporations | Greenville Hospitality Investments LLC | 8452 Caratoke Hwy Suite 704, Powells Point, NC 27966 |
| Street Address |
1825 KENNEDY BLVD EXECUTIVE OFFICE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07305-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487607099 | Samir Lewis Maximos | Internal Medicine | 1825 Kennedy Blvd, Jersey City, NJ 07305-2106 | 2006-05-18 |
| 1730628256 | Norma Altreche | Social Worker | 1825 Kennedy Blvd, Jersey City, NJ 07305 | 2017-02-16 |
| 1578690657 | Marylou Almanzor | Nurse Practitioner | 1825 Kennedy Blvd, Jersey City, NJ 07305 | 2007-02-27 |
| 1447292727 | Greenville Hospital | Emergency Medicine | 1825 Kennedy Blvd, Jersey City, NJ 07305-2106 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584358 | Lloyd Maquiling | Physical Therapist | 198 Old Bergen Rd #2622, Jersey City, NJ 07305 | 2020-06-27 |
| 1487293932 | Acj Consultants, Inc. | Counselor | 1600 Kennedy Blvd, Jersey City, NJ 07305 | 2020-01-02 |
| 1942767066 | Carerivet Medical Services LLC | Clinic/Center | 26 University Place Blvd, 1st Floor, Jersey City, NJ 07305 | 2019-02-25 |
| 1538669759 | Marie Day | Home Health Aide | 1709 Kennedy Boulevard, Jersey City, NJ 07305 | 2018-02-14 |
| 1881100162 | Heather Primus | Assistant Behavior Analyst | 120 Seaview Avenue, Ground Floor, Jersey City, NJ 07305 | 2017-12-21 |
| 1932642816 | Reem H Salem | Physical Therapist | 2120 John F Kennedy Blvd, Jersey City, NJ 07305 | 2016-11-28 |
| 1629449020 | Anjanie Persaud | Pharmacist | 260 Armstrong Ave, Jersey City, NJ 07305 | 2015-10-12 |
| 1518334440 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 321 State Rt 440, Jersey City, NJ 07305 | 2015-08-26 |
| 1306212832 | Hudson Milestones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9-11 Kensington Avenue, Jersey City, NJ 07305 | 2015-08-19 |
| 1144628397 | Martin Rodriguez | Counselor | 110 Martin Luther Drive, Jersey City, NJ 07305 | 2014-12-19 |
| Find all providers in zip 07305 | ||||
| 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 |
| 1467688184 | Jersey City Medical Center | Clinic/Center | 355 Grand St, Executive Office, Jersey City, NJ 07302-4321 | 2009-06-09 |
| 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 | 07305 |
Please comment or provide details below to improve the information on GREENVILLE HOSPITAL.
| 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.