COVENANT HOUSE NEW JERSEY, INC. (NPI# 1669619052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669619052 |
| Entity Type | Organization |
| Organization Name | COVENANT HOUSE NEW JERSEY, INC. |
| Other Organization Name | COVENANT HOUSE NJ - AC |
| Practice Address |
330 Washington St Newark NJ 07102-2630 |
| Mailing Address |
929 Atlantic Ave Atlantic City NJ 08401-7401 |
| Practice Telephone | 9732863547 |
| Practice Fax Number | 9732860190 |
| Mailing Telephone | 6093484070 |
| Mailing Fax Number | 6093481122 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |
| Authorized Official Name | MR. DANNY WILSON (DIRECTOR ORGANIZATIONAL DEVELOPMENT) |
| Authorized Official Telephone | 6093484070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | NJ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0161624 | 05 |
| Other Name | Type Code |
|---|---|
| Covenant House NJ - AC | Doing Business As Name - Organization |
| Street Address |
330 WASHINGTON ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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| 1689120305 | Kaleidoscope Therapeutic Riding Program, Inc. | Voluntary or Charitable | 21 Branin Road, Medford, NJ 08055 | 2016-09-01 |
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| Find all providers with the same taxonomy | ||||
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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.