GAVIOTA CORPORATION NPI 1710177068

NPI Information

  • NPI: 1710177068
  • Provider Name: GAVIOTA CORPORATION
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: GAVIOTA CLINIC
  • Address: 919 FRANKLIN AVE
    NEWARK, NJ
    ZIP 07107
  • Phone: (973) 368-4130

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NPI Details

GAVIOTA CORPORATION is a clinic center in Newark, NJ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GAVIOTA CORPORATION NPI is 1710177068. The provider is registered as an organization entity type.
The provider Is Doing Business As Gaviota Clinic.

The provider's business location address is:

919 FRANKLIN AVE
NEWARK, NJ
ZIP 07107-801
Phone: (973) 368-4130

The provider's authorized official is Garis L Silega .
The authorized official title is President and has the following contact phone number (973) 368-4130.

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

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
1261Q00000XClinic/CenterNEW JERSEYYes

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: 3/30/2025

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