Provider Demographics
NPI:1588962625
Name:JERSEY CITY MEDICAL CENTER
Entity type:Organization
Organization Name:JERSEY CITY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:NITESH
Authorized Official - Middle Name:
Authorized Official - Last Name:KUHADIYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-432-0675
Mailing Address - Street 1:1034 KENNEDY BLVD
Mailing Address - Street 2:D 6
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-2022
Mailing Address - Country:US
Mailing Address - Phone:504-432-0675
Mailing Address - Fax:
Practice Address - Street 1:1034 KENNEDY BLVD
Practice Address - Street 2:D 6
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-2022
Practice Address - Country:US
Practice Address - Phone:504-432-0675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-13
Last Update Date:2011-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital