CITY OF NEWARK NPI 1851757645

NPI Information

NPI: 1851757645
Provider Name: CITY OF NEWARK

Doing Business As: NEWARK DEPT OF HLTH & COMM WELLNESS-DENTAL MARY ELIZA MAHONEY HLTH CTR

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
110 WILLIAM ST
NEWARK, NJ
ZIP 07102
Phone: (973) 733-7558
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CITY OF NEWARK is a federally qualified health center (fqhc) clinic center in Newark, NJ. CITY OF NEWARK NPI is 1851757645. The provider is registered as an organization entity type.
The provider Is Doing Business As Newark Dept Of Hlth & Comm Wellness-dental Mary Eliza Mahoney Hlth Ctr.

The provider's business location address is:

110 WILLIAM ST
NEWARK, NJ
ZIP 07102-304
Phone: (973) 733-7558
Fax: (973) 733-4328

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 1/8/2016 and was last updated on 1/25/2016.

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)	7082	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	0034002	MEDICAID	NEW JERSEY
2	31-1892	MEDICARE UPIN	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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