PROSPECT EOGH, INC. (NPI# 1760851893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760851893 |
| Entity Type | Organization |
| Organization Name | PROSPECT EOGH, INC. |
| Other Organization Name | EAST ORANGE GENERAL HOSPITAL |
| Practice Address |
240 Central Ave East Orange NJ 07018-3313 |
| Practice Telephone | 9736728400 |
| Mailing Telephone | 9736728400 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | ELLEN SHIN (SECRETARY) |
| Authorized Official Telephone | 3109434520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
10704 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0389196 | 05 |
| Other Name | Type Code |
|---|---|
| East Orange General Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043785058 | Prospect Eogh, Inc. | Clinic/Center | 240 Central Ave, East Orange, NJ 07018-3313 | 2018-10-05 |
| 1578922258 | Prospect Eogh, Inc. | Hospitalist | 240 Central Ave, East Orange, NJ 07018-3313 | 2016-02-23 |
| 1578932604 | Prospect Eogh, Inc. | Clinic/Center | 240 Central Ave, East Orange, NJ 07018-3313 | 2015-09-18 |
| 1013386143 | Prospect Eogh, Inc. | General Acute Care Hospital | 240 Central Ave, East Orange, NJ 07018-3313 | 2015-09-18 |
| 1659740785 | Prospect Eogh, Inc. | Psychiatric Unit | 240 Central Ave, East Orange, NJ 07018-3313 | 2015-09-18 |
| Street Address |
240 CENTRAL AVE |
| City | EAST ORANGE |
| State | NJ |
| Zip Code | 07018-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023006186 | Thomas Mcbride | Clinical Neuropsychologist | 240 Central Ave, East Orange, NJ 07018-3313 | 2005-10-12 |
| 1043785058 | Prospect Eogh, Inc. | Clinic/Center | 240 Central Ave, East Orange, NJ 07018-3313 | 2018-10-05 |
| 1700303278 | Pamela Goldsteen | Social Worker | 240 Central Ave, East Orange, NJ 07018-3313 | 2017-08-25 |
| 1740710318 | Barbara Geffrand | Counselor | 240 Central Ave, East Orange, NJ 07018-3313 | 2017-06-15 |
| 1578922258 | Prospect Eogh, Inc. | Hospitalist | 240 Central Ave, East Orange, NJ 07018-3313 | 2016-02-23 |
| 1578932604 | Prospect Eogh, Inc. | Clinic/Center | 240 Central Ave, East Orange, NJ 07018-3313 | 2015-09-18 |
| 1013386143 | Prospect Eogh, Inc. | General Acute Care Hospital | 240 Central Ave, East Orange, NJ 07018-3313 | 2015-09-18 |
| 1659740785 | Prospect Eogh, Inc. | Psychiatric Unit | 240 Central Ave, East Orange, NJ 07018-3313 | 2015-09-18 |
| 1720233315 | Alina Tyndall | Family Medicine | 240 Central Ave, East Orange, NJ 07018-3313 | 2008-11-24 |
| 1326172230 | Meredith J Weitz | Speech-Language Pathologist | 240 Central Ave, East Orange, NJ 07018-3313 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902373 | New Vision Therapeutic Counseling Services | Counselor | 137 Evergreen Place Suite 3a, East Orange, NJ 07018 | 2018-12-01 |
| 1528535465 | Chioma Eunice Agbo | Nurse Practitioner | 320 South Harrison Street, Apt 15 E, East Orange, NJ 07018 | 2018-10-29 |
| 1023596020 | Claremont Medical & Rehab Home Care Inc | Home Health | 134 Evertgreen Place, Suite 405, East Orange, NJ 07018 | 2018-08-01 |
| 1205314507 | Jaleesa Myers | Social Worker | 320 S Harrison St Apt 20a, East Orange, NJ 07018 | 2018-07-30 |
| 1609353390 | Simone Joyce Hairston | Dietitian, Registered | Va Department of Veteran Affairs, 385 Tremont Ave., East Orange, NJ 07018 | 2018-07-25 |
| 1184101024 | Tejumade Veronica Falae | Registered Nurse | 6o Evergreen Place, Suite 307, East Orange, NJ 07018 | 2018-07-24 |
| 1659882082 | Bmg East Orange LLC | Internal Medicine | 200 Freeway Dr E Ste 305, East Orange, NJ 07018 | 2017-10-12 |
| 1548618341 | Golden Years Day Care Inc. | Clinic/Center | 50 South Munn Ave, East Orange, NJ 07018 | 2016-06-02 |
| 1669833703 | Ashley Ciccarelli | Social Worker | 86 South Harrison Street, East Orange, NJ 07018 | 2016-03-17 |
| 1861866469 | Antoinette Parks | Case Manager/Care Coordinator | 86 South Harrison St, East Orange, NJ 07018 | 2015-11-19 |
| Find all providers in zip 07018 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285928457 | Kwenyan Professional Health Services, LLC | Clinic/Center | 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 | 2011-06-06 |
| 1326368267 | Kwenyan Professional Health Services, LLC | Clinic/Center | 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 | 2010-06-02 |
| 1215174107 | East Orange General Hospital | Clinic/Center | 300 Central Ave, East Orange, NJ 07018-2819 | 2009-01-14 |
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| 1013525971 | Jrm Psychological Services LLC | Clinic/Center | 330 Mounts Corner Dr # 211, Freehold, NJ 07728-2558 | 2020-07-16 |
| 1316565575 | Aspire Therapy Services LLC | Clinic/Center | 101 Hudson St Ste 2152, Jersey City, NJ 07302-3907 | 2020-07-13 |
| 1619595915 | Cean Mental Wellness Services LLC | Clinic/Center | 786 King George Rd Ste 2, Fords, NJ 08863-1981 | 2020-07-13 |
| 1982221479 | Ramona A Crofoot, LLC Dba Kaleidoscope Transformations Wellness Cent | Clinic/Center | 371 Lakehurst Rd, Toms River, NJ 08755-7393 | 2020-06-30 |
| 1104440080 | Flora Martins Degeorge | Clinic/Center | Center for Psychotherapy, 215 Ridgedale Av, Florham Park, NJ 07932-0793 | 2020-06-05 |
| 1407478498 | Clear Thoughts Healthcare LLC | Clinic/Center | 2386 Morris Avenue Manhattan Lighting Building, Suite 107-109, Union, NJ 07083-0884 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
| City | EAST ORANGE |
| Zip Code | 07018 |
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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.