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NEWARK EXTENDED CARE FACILITY INC NPI 1386780807


NPI Information

NPI: 1386780807
Provider Name: NEWARK EXTENDED CARE FACILITY INC
Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
Entity Type: Organization
Address:
65 JAY STREET
NEWARK, NJ
ZIP 07103
Phone: (973) 488-6800
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NEWARK EXTENDED CARE FACILITY INC is an indian health service tribal urban indian health i t u pharmacy in Newark, NJ. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. NEWARK EXTENDED CARE FACILITY INC NPI is 1386780807. The provider is registered as an organization entity type.

The provider's business location address is:

65 JAY STREET
NEWARK, NJ
ZIP 07103
Phone: (973) 488-6800
Fax: (973) 483-1841

The provider's authorized official is Morton Paneth .
The authorized official title is Chief Financial Officer and has the following contact phone number (973) 483-6800.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyYes
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10971360001OTHERM CARE PART B

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.