GREENVILLE HOSPITAL (NPI# 1871663039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871663039 |
| Entity Type | Organization |
| Organization Name | GREENVILLE HOSPITAL |
| Practice Address |
1825 Kennedy Boulevard Ececutive 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 | 2006-11-08 |
| Last Update Date | 2011-04-29 |
| Authorized Official Name | MR. PAUL GOLDBERG (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2015215920 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 10903 | NJ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA US HEALTHCARE | 0013075 | 01 |
| NJ | AMERICHOICE MHS | HU0000045-02 | 01 |
| NJ | HEALTH NET PHS | J31132 | 01 |
| NJ | AMERIHEALTH | 0004311000 | 01 |
| NJ | ANTHEM GROUP NEW JERSEY | 310105 | 01 |
| NH | HORIZON NJ HLTHCARE MERCY | 1012309 | 01 |
| NJ | HORIZON NJ HLTHCARE MERCY | 1015734 | 01 |
| NJ | 4140702 | 05 | |
| NJ | HORIZON NJ HLTHCARE MERCY | 1015736 | 01 |
| NJ | OXFORD | H05252 | 01 |
| NJ | AMERIGROUP AMERICAID | 99751 | 01 |
| NJ | HORIZON NJ HLTHCARE MERCY | 1015735 | 01 |
| NJ | HORIZON BLUE CROSS OF NJ | 310105 | 01 |
| NJ | CHARITY CARE UNYSIS | 4140702 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639233257 | Greenville Hospital | Clinic/Center | 1825 Kennedy Blvd, Executive Office, Jersey City, NJ 07305-2106 | 2006-12-20 |
| 1447292727 | Greenville Hospital | Emergency Medicine | 1825 Kennedy Blvd, Jersey City, NJ 07305-2106 | 2006-06-12 |
| Street Address |
1825 KENNEDY BOULEVARD ECECUTIVE OFFICE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07305-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467436519 | Surendra P Khera | Internal Medicine | 1825 Kennedy Boulevard, 1st Floor, Jersey City, NJ 07305-2106 | 2005-12-02 |
| 1699980193 | Candace Delgaudio | Nurse Practitioner | 1825 Kennedy Boulevard, Jersey City, NJ 07305 | 2007-05-10 |
| 1528273075 | Seongae Park | Nurse Practitioner | 1825 Kennedy Boulevard, Jersey City, NJ 07305 | 2007-05-10 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730620428 | Jersey City Medical Center-rwj Barnabas Health | General Acute Care Hospital | 395 Grand Street 3rd Floor, Jersey City, NJ 07302 | 2017-03-14 |
| 1275803058 | Fhmc | General Acute Care Hospital | 226 Hutton St, Jersey City, NJ 07307-3704 | 2012-01-10 |
| 1215267604 | St Vincent Hospital In Manhattan | General Acute Care Hospital | 100 C Columbus Dr Apt 2001, Jersey City, NJ 07302-5560 | 2010-01-06 |
| 1831527647 | Christ Hospital | General Acute Care Hospital | 176 Palisade Ave, Jersey City, NJ 07306-1121 | 2013-10-15 |
| 1659703254 | Jersey City Medical Center | General Acute Care Hospital | 355 Grand St, Jersey City, NJ 07302-4321 | 2013-08-06 |
| 1437497997 | Jyoti Asopa | General Acute Care Hospital | 70 Greene St, Apt # 3110, Jersey City, NJ 07302-7587 | 2013-01-17 |
| 1053656488 | Christ Hospital Counseling & Resource Center | General Acute Care Hospital | 179 Palisade Ave, Jersey City, NJ 07306-1103 | 2012-12-12 |
| 1871859306 | Hudson Hospital Opco LLC | General Acute Care Hospital | 176 Palisade Ave, Jersey City, NJ 07306-1121 | 2012-04-10 |
| 1437442464 | Christ Hospital | General Acute Care Hospital | 176 Palisade Ave, Jersey City, NJ 07306-1121 | 2011-05-24 |
| 1972748705 | Umdnj | General Acute Care Hospital | 310 Varick St, Gf, Jersey City, NJ 07302-3404 | 2008-12-08 |
| 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.