CITY OF NEWARK (NPI# 1336573906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336573906 |
Entity Type | Organization |
Organization Name | CITY OF NEWARK |
Other Organization Name | NEWARK DEPARTMENT OF HEALTH AND COMMUNITY WELLNESS |
Practice Address |
140 Bergen Street Newark NJ 07103 |
Mailing Address |
110 William St Newark NJ 07102-1304 |
Practice Telephone | 9737337600 |
Mailing Telephone | 9737337600 |
Enumeration Date | 2013-08-30 |
Last Update Date | 2017-01-26 |
Authorized Official Name | OLUYINKA FADAHUNSI (FINANCIAL OPERATIONS OFFICER) |
Authorized Official Telephone | 9737337558 |
Authorized Official Credential | MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
70782 | NJ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 0403563 | 05 |
Other Name | Type Code |
---|---|
Newark Department of Health and Community Wellness | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477914612 | City of Newark | Clinic/Center | 30 N Munn Ave # 30a, Newark, NJ 07106-1411 | 2016-03-16 |
1528269883 | City of Newark | Ambulance | 1140 Hollander St, Newark, OH 43055-6043 | 2007-05-31 |
1720539620 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2016-10-17 |
1851757645 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2016-01-08 |
1427467034 | City of Newark | Public Health or Welfare | 110 William St, Newark, NJ 07102-1304 | 2014-08-07 |
1548678303 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2014-07-24 |
1376976704 | City of Newark | Clinic/Center | 394 University Ave, Newark, NJ 07102-1221 | 2013-08-21 |
1356561278 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2007-04-26 |
1295958908 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2007-04-11 |
Street Address |
140 BERGEN STREET |
City | NEWARK |
State | NJ |
Zip Code | 07103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790786416 | Noah Adam Goldman | Obstetrics & Gynecology | 140 Bergen Street, Level C, Newark, NJ 07103 | 2005-08-03 |
1508401134 | Mary Shannon Carroll | Audiologist | 140 Bergen Street, E-1680, Newark, NJ 07103 | 2019-11-07 |
1609178276 | University Hospital | Clinic/Center | 140 Bergen Street, Dept. Acc Clinics, F-1776, Newark, NJ 07103-2425 | 2010-12-02 |
1245440783 | Langirene Mathieu Aguilh | Nurse Practitioner | 140 Bergen Street, Newark, NJ 07103-2496 | 2007-05-23 |
1306055520 | Umdnj University Hospital | Audiologist | 140 Bergen Street, E# 1700, Newark, NJ 07103 | 2007-05-22 |
1962611376 | Shyam Noruthun | Registered Nurse | 140 Bergen Street, Newark, NJ 09103 | 2007-05-22 |
1881807774 | Debbie Ysmin Mohammed | Nurse Practitioner | 140 Bergen Street, D Level, Newark, NJ 07103 | 2007-05-07 |
1558581926 | Patricia E Connelly | Audiologist | 140 Bergen Street, E Level, Newark, NJ 07103 | 2007-04-26 |
1780704205 | Diana Gurevich Finkel | Internal Medicine | 140 Bergen Street, Ambulatory Care Center Level D, Newark, NJ 07103 | 2007-03-29 |
1437161874 | Subhashini Manjula Ayloo | Transplant Surgery | 140 Bergen Street, Acc Bldg D-1650, Newark, NJ 07103 | 2006-08-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
Find all providers in zip 07103 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538724554 | Saint James Health Inc | Clinic/Center | 332 S 8th St, Newark, NJ 07103-2173 | 2019-05-06 |
1366993586 | Newark Community Health Centers, Inc | Clinic/Center | 92-96 Ferry Street, Newark, NJ 07105-1817 | 2016-10-24 |
1477914612 | City of Newark | Clinic/Center | 30 N Munn Ave # 30a, Newark, NJ 07106-1411 | 2016-03-16 |
1932512092 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 120 Manchester Pl, Newark, NJ 07104-1704 | 2014-06-06 |
1356769277 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 258-380 Verona Avenue, Newark, NJ 07114 | 2014-03-29 |
1447522461 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 246 18th Ave, Newark, NJ 07108-2316 | 2012-02-07 |
1548431091 | Newark Community Health Centers,inc. | Clinic/Center | 982 Broad St, Newark, NJ 07102-2503 | 2008-03-12 |
1619148160 | Newark Community Health Centers,inc. | Clinic/Center | 516 Bergen St, Newark, NJ 07108-1639 | 2008-03-12 |
1770784563 | Alameda Health System | Clinic/Center | 6066 Civiv Terrace Avenue, Newark, CA 94560-3756 | 2007-05-30 |
1710199468 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 80 Johnson Ave, Newark, NJ 07108-2729 | 2007-05-04 |
Find all providers in NEWARK |
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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.