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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 0179965 | 05 | |
NJ | STATE LICENSE | 23134 | 01 |
Other Name | Type Code |
---|---|
Irvington Community Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982049557 | Newark Community Health Centers Inc | Clinic/Center | 228 Lafayette St, Newark, NJ 07105-1815 | 2013-05-08 |
Street Address |
1148 - 1150 SPRINGFIELD AVENUE |
City | IRVINGTON |
State | NJ |
Zip Code | 07111-2441 |
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 |
Find all providers in zip 07111 |
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 |
---|---|---|---|---|
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 |
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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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.