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NEWARK COMMUNITY HEALTH CENTERSINC. NPI 1548431091


NPI Information

NPI: 1548431091
Provider Name: NEWARK COMMUNITY HEALTH CENTERS,INC.

Other Name: NEWARK COMMUNITY HEALTH CENTER@NESF

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
982 BROAD ST
NEWARK, NJ
ZIP 07102
Phone: (973) 353-0699
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NEWARK COMMUNITY HEALTH CENTERS,INC. is a federally qualified health center (fqhc) clinic center in Newark, NJ. NEWARK COMMUNITY HEALTH CENTERS,INC. NPI is 1548431091. The provider is registered as an organization entity type.
The provider Other Name Is Newark Community Health Center@nesf.

The provider's business location address is:

982 BROAD ST
NEWARK, NJ
ZIP 07102-503
Phone: (973) 353-0699
Fax: (973) 353-9743

The provider's authorized official is Peter R Velez .
The authorized official title is President/ceo and has the following contact phone number (973) 483-1300.

The enumeration date for this NPI number is 3/12/2008 and was last updated on 5/16/2008.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)23148NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1311858MEDICARE OSCAR/CERTIFICATIONNEW JERSEY
20055590MEDICAIDNEW 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

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