NEIGHBORHOOD HEALTH SERVICES CORPORATION (NPI# 1538383666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538383666 |
Entity Type | Organization |
Organization Name | NEIGHBORHOOD HEALTH SERVICES CORPORATION |
Other Organization Name | NEIGHBORHOOD HEALTH CENTER - ELIZABETH |
Practice Address |
184 First Street Elizabeth NJ 07206-1000 |
Mailing Address |
1700 Myrtle Ave Plainfield NJ 07063-1000 |
Practice Telephone | 9083554459 |
Practice Fax Number | 9083554985 |
Mailing Telephone | 9087536401 |
Mailing Fax Number | 9082266743 |
Enumeration Date | 2007-04-12 |
Last Update Date | 2014-03-17 |
Authorized Official Name | MR. DERRICK C WILLIAMS (VICE PRESIDENT & COO) |
Authorized Official Telephone | 9087536401 |
Is Organization Subpart | Y |
Parent Organization Name | NEIGHBORHOOD HEALTH SERVICES CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 25MA06505500 | NJ | Other Service Providers |
N | 207R00000X | Internal Medicine | 25MA5775700 | NJ | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | 25MA05775700 | NJ | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 25MA04375900 | NJ | Allopathic & Osteopathic Physicians |
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NJ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 9087508 | 05 |
Other Name | Type Code |
---|---|
Neighborhood Health Center - Elizabeth | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316981707 | Neighborhood Health Services Corporation | Specialist | 1700-58 Myrtle Avenue, Plainfield, NJ 07063 | 2006-06-15 |
1003850488 | Neighborhood Health Services Corporation | Dentist | 427-429 South Main Street, Phillipsburg, NJ 08865 | 2006-06-15 |
1235179045 | Neighborhood Health Services Corporation | Dentist | 238 Spring Street, Newton, NJ 07860 | 2006-06-08 |
Street Address |
184 FIRST STREET |
City | ELIZABETH |
State | NJ |
Zip Code | 07206-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235791310 | Mars Premier Care LLC | Day Training, Developmentally Disabled Services | 210 Monsignor Kemezis Place, Elizabeth, NJ 07206 | 2019-06-28 |
1588151898 | Kathleen Michelle Dewyke | Psychiatry & Neurology | 654 East Jersey St, Residency Program, Elizabeth, NJ 07206 | 2018-04-23 |
1043501265 | Kathreen Tharwat Tadrous | Psychiatry & Neurology | 655 E. Jersey Sreet, Trinitas Regional Medical Center, Elizabeth, NJ 07206 | 2011-04-21 |
1558683987 | Susan Nestler Wohlgemuth | Counselor | 654 East Jersey St., Trinitas Hospital, Elizabeth, NJ 07206 | 2010-02-26 |
1053540807 | Krista Shea Hasenfus | Social Worker | 655 East Jersey Street, Elizabeth, NJ 07206 | 2009-07-14 |
1396940193 | Danielle Pompey | Social Worker | 655 East Jersey Stereet, Dept. Behavioral Health & Psychiatry, Elizabeth, NJ 07206 | 2007-06-20 |
1114138757 | Trinitas Regional Medical Center | Psychiatric Unit | 655 Livingston Avenue, Trinitas Hiv Clinc, Elizabeth, NJ 07206 | 2007-05-25 |
1376661264 | Patricia F. Traynham | Registered Nurse | New Point Campus, 655 East Jersey Avenue, Elizabeth, NJ 07206 | 2007-03-27 |
1629165204 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E Jersey Street, Youth Case Management, Elizabeth, NJ 07206 | 2006-10-06 |
1184719312 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E. Jersey Street, Residential Services, Elizabeth, NJ 07206 | 2006-10-04 |
Find all providers in zip 07206 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1447746862 | Project H.o.p.e., Inc. | Clinic/Center | 1494 Federal St, Camden, NJ 08105-1753 | 2018-07-09 |
1194226373 | Ocean Health Initiatives, Inc. | Clinic/Center | 20 Jackson St Ste E, Freehold, NJ 07728-2476 | 2018-02-23 |
1033653860 | Project H.o.p.e., Inc. | Clinic/Center | 1514 Federal St, Camden, NJ 08105-1712 | 2016-12-13 |
1366993586 | Newark Community Health Centers, Inc | Clinic/Center | 92-96 Ferry Street, Newark, NJ 07105-1817 | 2016-10-24 |
1437605656 | John Brooks Recovery Center, A New Jersey Non-profit Corporation | Clinic/Center | 1931 Bacharach Blvd, Atlantic City, NJ 08401 | 2016-08-28 |
1417309527 | Community Health Care, Inc. | Clinic/Center | 715 Delsea Dr N, Units 3, 4, & 5, Glassboro, NJ 08028-1435 | 2016-07-13 |
1477914612 | City of Newark | Clinic/Center | 30 N Munn Ave # 30a, Newark, NJ 07106-1411 | 2016-03-16 |
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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.