CITY OF NEWARK


Address: 140 Bergen Street, Newark, NJ 07103
Phone: 9737337600

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0403563 05

Other Provider/Organization Names

Other Name Type Code
Newark Department of Health and Community Wellness Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 140 BERGEN STREET
City NEWARK
State NJ
Zip Code 07103

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City NEWARK
Zip Code 07103

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Dataset Information

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.

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