CENTRAL JERSEY MEDICAL CENTER INC NPI 1124230883

NPI Information

NPI: 1124230883
Provider Name: CENTRAL JERSEY MEDICAL CENTER, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
21 QUITMAN ST
NEWARK, NJ
ZIP 07103
Phone: (973) 424-4329
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CENTRAL JERSEY MEDICAL CENTER, INC is a federally qualified health center (fqhc) clinic center in Newark, NJ. CENTRAL JERSEY MEDICAL CENTER, INC NPI is 1124230883. The provider is registered as an organization entity type.

The provider's business location address is:

21 QUITMAN ST
NEWARK, NJ
ZIP 07103-105
Phone: (973) 424-4329

The provider's authorized official is Jack O'leary .
The authorized official title is Ceo and has the following contact phone number (732) 376-9333.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 1/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	23979	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0115045	MEDICAID	NEW JERSEY
2	0193763	MEDICAID	NEW JERSEY
3	1342304	MEDICAID	NEW JERSEY
4	0124869	MEDICAID	NEW JERSEY
5	0751103	MEDICAID	NEW JERSEY
6	8462500	MEDICAID	NEW JERSEY
7	8932603	MEDICAID	NEW JERSEY
8	0097837	MEDICAID	NEW JERSEY
9	0183252	MEDICAID	NEW JERSEY
10	8096201	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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