Liberty Child And Adolescent Health Services

LBN: Liberty Child And Adolescent Health Services
Liberty Child And Adolescent Health Services is an health care organization with primary practice located at 550 Newark Ave , Jersey City NJ 07306-1326. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Liberty Child And Adolescent Health Services can be contacted via phone (201) 714-7902, or through Bonforte, Richard J via phone (201) 714-7903.

Contact Information

Primary practice address
550 Newark Ave Jersey City NJ 07306-1326
Phone: (201) 714-7902
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bonforte, Richard J Doctor of Medicine (MD)
Phone: (201) 714-7903

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1003812728
LBN Legal business name Liberty Child And Adolescent Health Services
DBA Doing business as
Authorized official Bonforte, Richard J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003812728 NPPES
New Jersey MEDICAID 6697704

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