CONSOLIDATED CARE LLC NPI 1336538305

NPI Information

  • NPI: 1336538305
  • Provider Name: CONSOLIDATED CARE LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 410 CHANCELLOR AVE
    NEWARK, NJ
    ZIP 07112
  • Phone: (862) 246-7899

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NPI Details

CONSOLIDATED CARE LLC is a primary care clinic center in Newark, NJ. CONSOLIDATED CARE LLC NPI is 1336538305. The provider is registered as an organization entity type.

The provider's business location address is:

410 CHANCELLOR AVE
NEWARK, NJ
ZIP 07112-030
Phone: (862) 246-7899

The provider's authorized official is Ebere Diribe .
The authorized official title is Apn and has the following contact phone number (973) 735-8531.

The enumeration date for this NPI number is 1/14/2015 and was last updated on 7/13/2016.

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
1261QP3300XClinic/CenterPain26NJ00186400NEW JERSEYNo
2208D00000XGeneral Practice25MA03964100NEW JERSEYNo
3261QP2300XClinic/CenterPrimary Care26NJ00186400NEW JERSEYYes

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 Other Provider Identifier Issuer
10424048OTHERNEW JERSEYMEDICARE

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: 11/21/2025

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