CITY OF NEWARK NPI 1477914612

NPI Information

NPI: 1477914612
Provider Name: CITY OF NEWARK

Doing Business As: NEWARK DEPT OF HEALTH & COMMUNITY WELLNESS- BC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
30 N MUNN AVE # 30A
NEWARK, NJ
ZIP 07106
Phone: (973) 877-6111
Get Directions

CITY OF NEWARK is a federally qualified health center (fqhc) clinic center in Newark, NJ. CITY OF NEWARK NPI is 1477914612. The provider is registered as an organization entity type.
The provider Is Doing Business As Newark Dept Of Health & Community Wellness- Bc.

The provider's business location address is:

30 N MUNN AVE # 30A
NEWARK, NJ
ZIP 07106-411
Phone: (973) 877-6111

The provider's authorized official is Oluyinka Fadahunsi .
The authorized official title is Financial Operations Officer and has the following contact phone number (973) 733-7558.

The enumeration date for this NPI number is 3/16/2016 and was last updated on 3/16/2016.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	24765	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	Other Provider Identifier Issuer
1	0390739	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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