NEWARK COMMUNITY HEALTH CENTERS, INC. (NPI# 1932370483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932370483 |
| Entity Type | Organization |
| Organization Name | NEWARK COMMUNITY HEALTH CENTERS, INC. |
| Other Organization Name | DAYTON STREET HEALTH CENTER |
| Practice Address |
101 Ludlow St Newark NJ 07114-1108 |
| Practice Telephone | 9735650355 |
| Practice Fax Number | 9735650461 |
| Mailing Telephone | 9735650355 |
| Mailing Fax Number | 9735650461 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-10-28 |
| Authorized Official Name | PETER R VELEZ (PRESIDENT/CEO) |
| Authorized Official Telephone | 9734831300 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | Y |
| Parent Organization Name | NEWARKCOMMUNITY HEALTH CENTRS,INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
70778 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0055646 | 05 |
| Other Name | Type Code |
|---|---|
| Dayton Street Health Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740345693 | Newark Community Health Centers, Inc. | Clinic/Center | 741 Broadway, Newark, NJ 07104-4309 | 2006-12-22 |
| Street Address |
101 LUDLOW ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07114-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669497707 | Maria C Villaquiran | Pediatrics | 101 Ludlow St, Newark, NJ 07114-1108 | 2006-07-12 |
| 1063524551 | Kenneth James | Dentist | 101 Ludlow St, Newark, NJ 07114-1108 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417288 | Ariane Monique Chua Dequina | Registered Nurse | 340 Airis Drive, Newark, NJ 07114 | 2020-11-04 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1760097018 | Joslainez Gonzalo | Social Worker | 47 Miller Street, Newark, NJ 07114 | 2020-09-14 |
| 1497116156 | Berdine Macasero | Nurse Practitioner | Newark Liberty Airport, Terminal C, Room #136, Newark, NJ 07114 | 2016-03-09 |
| 1164813218 | Eugene F Vane Jr. | Dentist | 168 Frontage Road, Newark, NJ 07114 | 2015-02-11 |
| 1356769277 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 258-380 Verona Avenue, Newark, NJ 07114 | 2014-03-29 |
| 1871886549 | Debora Gildin | Nurse Practitioner | Continental Airline's Take-care Health Center, Newark International Airport Terminal C, Suite 136, Newark, NJ 07114 | 2011-05-27 |
| 1871890079 | Ewr Medport | Clinic/Center | 339 Brewster Rd, Ste 201, Newark, NJ 07114 | 2011-02-24 |
| 1023331337 | Jeffrey Witz | Chiropractor | Newark Liberty International Airport, Bldg 339 Ste 201, Newark, NJ 07114 | 2010-03-02 |
| 1073794244 | Amelita Escalona Canubida | Nurse Practitioner | Newark International Airport, Terminal C, Room 136, Newark, NJ 07114 | 2007-11-16 |
| Find all providers in zip 07114 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| 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 |
| 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.