GAVIOTA CORPORATION (NPI# 1710177068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710177068 |
| Entity Type | Organization |
| Organization Name | GAVIOTA CORPORATION |
| Other Organization Name | GAVIOTA CLINIC |
| Practice Address |
919 Franklin Ave Newark NJ 07107-4801 |
| Mailing Address |
559 Broadway Apt 12 Newark NJ 07104-4151 |
| Practice Telephone | 9733684130 |
| Mailing Telephone | 9733684130 |
| Mailing Fax Number | 9737320023 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |
| Authorized Official Name | DR. GARIS L SILEGA (PRESIDENT) |
| Authorized Official Telephone | 9733684130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | NJ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| gaviota clinic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GAVIOTA CORPORATION | 221 Astor St, Newark, NJ 07114 |
| Street Address |
919 FRANKLIN AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07107-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747272 | Kobie Blair Morgan | Counselor | Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 | 2020-07-06 |
| 1811522634 | Yasheika Hermitt South | Licensed Practical Nurse | North 11th Street, Newark, NJ 07107 | 2020-03-12 |
| 1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
| 1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
| 1053743997 | Center for Wound Science and Healing | General Acute Care Hospital | 495 North 13th Street, 2nd Floor, Newark, NJ 07107 | 2013-08-02 |
| 1750620944 | Jeevan M Mathew | Physical Therapist | 500 0range Street, Suite 2, Newark, NJ 07107 | 2013-02-07 |
| 1982967386 | D & M Quality of Life Services, LLP | In Home Supportive Care | 285 Roseville Avenue, Suite 118, Newark, NJ 07107 | 2012-06-20 |
| 1710121496 | Paul Hsu | Pharmacist | 421 Bloomfield Ave, Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1194969774 | Prescriptions Etc Inc. | Clinic/Center | 421 Bloomfield Ave., Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1821269630 | Chandra Gupta | Pediatrics | 156 Roseville Avenue, Newark, NJ 07107 | 2008-03-19 |
| Find all providers in zip 07107 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1073093373 | Pinnacle Autism Services, LLC | Clinic/Center | 908 Janice Dr, Newark, DE 19713-4040 | 2018-08-16 |
| 1154849297 | Greater Essex Counseling Services LLC | Clinic/Center | 23 Branford Pl Fl 2, Newark, NJ 07102-2711 | 2017-09-08 |
| 1174920102 | Licking County Community Health Care | Clinic/Center | 144b W Main St, Newark, OH 43055-5008 | 2014-11-19 |
| 1740619881 | Independent Insurance Consulting | Clinic/Center | 27 Golf View Dr, D-4, Newark, DE 19702-1770 | 2013-11-08 |
| 1043588569 | Ferry Pain & Rehab Center | Clinic/Center | 128 Ferry St, Newark, NJ 07105-2115 | 2011-12-12 |
| 1194969774 | Prescriptions Etc Inc. | Clinic/Center | 421 Bloomfield Ave., Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1407836315 | Spine Care Delaware, LLC | Clinic/Center | 4102 Ogletown - Stanton Rd, Newark, DE 19713 | 2006-01-18 |
| 1457841421 | Complete Sleep Lab Inc | Clinic/Center | 314 E Main St, Newark, DE 19711-7128 | 2018-05-15 |
| 1699135178 | Brick City Chiropractic LLC | Clinic/Center | 509 Orange St, Floor 2, Newark, NJ 07107-2128 | 2016-02-26 |
| 1649692575 | Loren Donnell Smith Od Inc | Clinic/Center | 35149 Newark Blvd, Ste C, Newark, CA 94560-1209 | 2014-01-13 |
| 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.