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RUTGERS NURSING FACULTY PRACTICE NPI 1710475322


NPI Information

NPI: 1710475322
Provider Name: RUTGERS NURSING FACULTY PRACTICE

Doing Business As: RUTGERS COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
449 BROAD ST
NEWARK, NJ
ZIP 07102
Phone: (973) 732-6040
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RUTGERS NURSING FACULTY PRACTICE is a community health clinic center in Newark, NJ. RUTGERS NURSING FACULTY PRACTICE NPI is 1710475322. The provider is registered as an organization entity type.
The provider Is Doing Business As Rutgers Community Health Center.

The provider's business location address is:

449 BROAD ST
NEWARK, NJ
ZIP 07102-224
Phone: (973) 732-6040

The provider's authorized official is Susan Vonnessen-scanlin .
The authorized official title is Director and has the following contact phone number (732) 357-7460.

The enumeration date for this NPI number is 4/30/2018 and was last updated on 4/30/2018.


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
1261QC1500XClinic/CenterCommunity HealthYes
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No

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

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.