LIBERTY HEALTH JERSY CITY MEDICAL CENTER (NPI# 1700950482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700950482 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTH JERSY CITY MEDICAL CENTER |
| Other Organization Name | CTR FOR CHILDREN & SPECIAL NEEDS |
| Practice Address |
953 Garfield Avenue Jersey City NJ 07304 |
| Mailing Address |
953 Garfield Avenue Center for Children & Special Needs Jersey City NJ 07304 |
| Practice Telephone | 2019152059 |
| Practice Fax Number | 2019152551 |
| Mailing Telephone | 2019152059 |
| Mailing Fax Number | 2019152551 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICHARD WM GOLDSMITH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2019152059 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
MA01584800 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0525901 | 05 |
| Other Name | Type Code |
|---|---|
| Ctr for Children & Special Needs | Other Name - Individual/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 |
| 1467521039 | Liberty Health Care System | Clinic/Center | 953 Garfield Avenue, Jersey City, NJ 07304 | 2006-11-07 |
| 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 | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982798237 | Dorothy W. Bryan | Pediatrics | 953 Garfield Avenue, Jersey City, NJ 07304 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427367440 | Maureen Hoey | Pediatrics | 104 Cranford Ave, Cranford, NJ 07016-2408 | 2010-09-27 |
| 1548427420 | Manuel Jimenez | Pediatrics | 89 French St Rm 1349, New Brunswick, NJ 08901-1935 | 2008-05-19 |
| 1265589600 | Margaret Kelly Downey | Pediatrics | 110 Hazel Ct, Norwood, NJ 07648-1817 | 2007-01-05 |
| 1952493967 | Batul S Ladak | Pediatrics | 50 Market Street, Second Floor, Saddle Brook, NJ 07663 | 2006-09-28 |
| 1235233248 | Ffrancine M Siegel-stein | Pediatrics | 263 Arch Rd, Englewood, NJ 07631-4402 | 2006-09-11 |
| 1801847462 | Marivic Santiago | Pediatrics | 140 E Ridgewood Avenue, Suite 480n, Paramus, NJ 07652 | 2006-05-16 |
| 1871561266 | Kathleen Selvaggi-fadden | Pediatrics | 435 South St Ste 250, Morristown, NJ 07960-6477 | 2006-03-10 |
| 1295371441 | Hunterdon Medical Center | Pediatrics | 190 Route 31, Flemington, NJ 08822-5773 | 2019-11-22 |
| 1932762002 | Clarity Psychiatric Care | Pediatrics | 31 Kings Hwy E, Haddonfield, NJ 08033-2001 | 2019-04-15 |
| 1750891990 | Phoenix Behavioral Health LLC | Pediatrics | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2017-10-02 |
| 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.