NEWARK COMMUNITY HEALTH CENTERS INC


Address: 1148 - 1150 Springfield Avenue, Irvington, NJ 07111-2441
Phone: 9733996292

NEWARK COMMUNITY HEALTH CENTERS INC (NPI# 1972778413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972778413
Entity Type Organization
Organization Name NEWARK COMMUNITY HEALTH CENTERS INC
Other Organization Name IRVINGTON COMMUNITY HEALTH CENTER
Practice Address 1148 - 1150 Springfield Avenue
Irvington
NJ 07111-2441
Mailing Address 741 Broadway
Newark
NJ 07104-4309
Practice Telephone 9733996292
Practice Fax Number 9733724534
Mailing Telephone 9734831300
Mailing Fax Number 9734833787
Enumeration Date 2008-04-25
Last Update Date 2018-09-18
Authorized Official Name PAMELA CLARKE (PRESIDENT/CEO)
Authorized Official Telephone 9734831300
Authorized Official Credential DOCTORATE
Is Organization Subpart Y
Parent Organization Name NEWARK COMMUNITY HEALTH CENTERS INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
23134 NJ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0179965 05
NJ STATE LICENSE 23134 01

Other Provider/Organization Names

Other Name Type Code
Irvington Community Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1982049557 Newark Community Health Centers Inc Clinic/Center 228 Lafayette St, Newark, NJ 07105-1815 2013-05-08

Office Location

Street Address 1148 - 1150 SPRINGFIELD AVENUE
City IRVINGTON
State NJ
Zip Code 07111-2441

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548871163 Le Choix Home Care LLC Home Health 1395-1399 Clinton Ave, Irvington, NJ 07111 2020-08-17
1528532447 All America Medical Day Care Custodial Care Facility 141 Coit St, Irvington, NJ 07111 2019-01-14
1548737240 Irvington Adult Day Care Center Clinic/Center 62-70 Howard Street, Irvington, NJ 07111 2018-10-31
1245754084 Soul House Cruber Wellness Center Counselor 1144 Clinton Avenue, Irvington, NJ 07111 2017-08-02
1689194094 Anthony Ijehsedeh Nurse Practitioner 12 Krotik Place, Irvington, NJ 07111 2017-06-27
1467993246 Sia Kendema Respite Care 102 Paine Avenue, Irvington, NJ 07111 2017-03-14
1316482078 Walgreen Co Pharmacy 810 Springfield Ave, Irvington, NJ 07111 2017-01-04
1679023915 Lyons Pharmacy Pharmacy 471 Lyons Ave #79, Irvington, NJ 07111 2016-10-11
1952759276 Sabreehouse Community/Behavioral Health 74 Welland Avenue, Irvington, NJ 07111 2016-05-26
1447624184 Marius Nzo Yonkeu Pharmacist 19 Bruen Ave Apt C1, Irvington, NJ 07111 2015-11-18
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396794426 Bayou La Batre Area Health Development Board, Inc. Clinic/Center 12701 Padgett Switch Rd, Irvington, AL 36544-4011 2006-05-08
1275729246 Bayou La Batre Area Health Development Board, Inc. Clinic/Center 12701 Padgett Switch Rd, Irvington, AL 36544-4011 2007-09-24
1548456510 Bayou La Batre Area Health Development Board, Inc. Clinic/Center 12701 Padgett Switch Rd, Irvington, AL 36544-4011 2007-09-24
1811183882 Bayou La Batre Area Health Development Board, Inc. Clinic/Center 12701 Padgett Switch Rd, Irvington, AL 36544-4011 2007-09-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538724554 Saint James Health Inc Clinic/Center 332 S 8th St, Newark, NJ 07103-2173 2019-05-06
1780148395 Horizon Health Center, Inc. Clinic/Center 55 Meadowlands Pkwy Ste 200, Secaucus, NJ 07094-2977 2019-01-28
1518437474 Lakewood Resource and Referral Center, Inc. Clinic/Center 485 Locust St, Lakewood, NJ 08701-5896 2018-12-04
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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Competitor

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City IRVINGTON
Zip Code 07111

Improve Information

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Dataset Information

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.

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