Provider Type Icon

LIBERTY HEALTH JERSY CITY MEDICAL CENTER NPI 1700950482


NPI Information

NPI: 1700950482
Provider Name: LIBERTY HEALTH JERSY CITY MEDICAL CENTER

Other Name: CTR FOR CHILDREN & SPECIAL NEEDS

Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
953 GARFIELD AVENUE
JERSEY CITY, NJ
ZIP 07304
Phone: (201) 915-2059
Get Directions

LIBERTY HEALTH JERSY CITY MEDICAL CENTER is a developmental - behavioral pediatrics pediatrics in Jersey City, NJ. The provider is 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. LIBERTY HEALTH JERSY CITY MEDICAL CENTER NPI is 1700950482. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Ctr For Children & Special Needs.

The provider's business location address is:

953 GARFIELD AVENUE
JERSEY CITY, NJ
ZIP 07304
Phone: (201) 915-2059
Fax: (201) 915-2551

The provider's authorized official is Richard Wm Goldsmith .
The authorized official title is Medical Director and has the following contact phone number (201) 915-2059.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0006XPediatricsDevelopmental - Behavioral PediatricsMA01584800NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10525901MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.