| Jersey City Medical Center | |
|
355 Grand Street Executive Office Jersey City NJ 07302-4321 | |
| (201) 770-3712 | |
| (732) 923-2272 |
| Full Name | Jersey City Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 355 Grand Street, Jersey City, New Jersey |
| Authorized Official Name and Position | Michael Prilutsky (CEO) |
| Authorized Official Contact | 2019152262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey City Medical Center 355 Grand Street Executive Office Jersey City NJ 07302-4321 Ph: (201) 770-3712 | Jersey City Medical Center 355 Grand Street Executive Office Jersey City NJ 07302-4321 Ph: (201) 770-3712 |
| NPI Number | 1497825665 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 10/03/2024 |
| Certification Date | 09/30/2024 |
| Medicare PECOS PAC ID | 5294633483 |
|---|---|
| Medicare Enrollment ID | O20210525003171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497825665 | NPI | - | NPPES |
| 49068 | Other | NJ | HORIZON NJ HLTHCARE MERCY |
| 50022 | Other | NJ | AMERIGROUP AMERIHEALTH |
| J30888 | Other | NJ | HEALTH NET PHS |
| 0014014 | Other | NJ | AETNA US HEALTHCARE |
| 1015750 | Other | NH | HORIZON NJ HLTHCARE MERCY |
| 310074 | Other | NJ | ANTHEM GROUP NEW JERSEY |
| 4139801 | Other | NJ | CHARITY CARE UNYSIS |
| 7662904 | Medicaid | NJ | |
| HU0000048-03 | Other | NJ | AMERICHOICE MHS |
| 0004312000 | Other | NJ | AMERIHEALTH |
| 4139801 | Medicaid | NJ | |
| 1015749 | Other | NJ | HORIZON NJ HLTHCARE MERCY |
| 1015751 | Other | NJ | HORIZON NJ HLTHCARE MERCY |
| 310074 | Other | NJ | HORIZON BLUE CROSS |
| 4547900 | Medicaid | NJ | |
| H05253 | Other | NJ | OXFORD HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 10904 (New Jersey) | Primary |
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