CITY OF NEWARK DEPT OF CHILD AND FAMILY WELL BEING MOBILE MEDICAL VAN (NPI# 1003181553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003181553 |
| Entity Type | Organization |
| Organization Name | CITY OF NEWARK DEPT OF CHILD AND FAMILY WELL BEING MOBILE MEDICAL VAN |
| Practice Address |
110 William St Newark NJ 07102-1304 |
| Practice Telephone | 9737337558 |
| Mailing Telephone | 9737337558 |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |
| Authorized Official Name | L'TANYA WILLIAMS (DIRECTOR) |
| Authorized Official Telephone | 9737337558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Street Address |
110 WILLIAM ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497779680 | Isabel Gonzalez | Pediatrics | 110 William St, Newark, NJ 07102-1304 | 2006-07-27 |
| 1518407873 | Kayla Guido | Dental Hygienist | 110 William St, Newark, NJ 07102-1304 | 2017-03-06 |
| 1720539620 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2016-10-17 |
| 1851757645 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2016-01-08 |
| 1427467034 | City of Newark | Public Health or Welfare | 110 William St, Newark, NJ 07102-1304 | 2014-08-07 |
| 1548678303 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2014-07-24 |
| 1568883346 | Nekisha D Balfour | Nurse Practitioner | 110 William St, Newark, NJ 07102-1304 | 2013-12-23 |
| 1306182761 | Joanne So | Nurse Practitioner | 110 William St, Newark, NJ 07102-1304 | 2012-12-12 |
| 1316130164 | Vincent Davidson Carrington | Dentist | 110 William St, Newark, NJ 07102-1304 | 2007-08-24 |
| 1356561278 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2007-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538724554 | Saint James Health Inc | Clinic/Center | 332 S 8th St, Newark, NJ 07103-2173 | 2019-05-06 |
| 1366993586 | Newark Community Health Centers, Inc | Clinic/Center | 92-96 Ferry Street, Newark, NJ 07105-1817 | 2016-10-24 |
| 1477914612 | City of Newark | Clinic/Center | 30 N Munn Ave # 30a, Newark, NJ 07106-1411 | 2016-03-16 |
| 1932512092 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 120 Manchester Pl, Newark, NJ 07104-1704 | 2014-06-06 |
| 1356769277 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 258-380 Verona Avenue, Newark, NJ 07114 | 2014-03-29 |
| 1447522461 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 246 18th Ave, Newark, NJ 07108-2316 | 2012-02-07 |
| 1548431091 | Newark Community Health Centers,inc. | Clinic/Center | 982 Broad St, Newark, NJ 07102-2503 | 2008-03-12 |
| 1619148160 | Newark Community Health Centers,inc. | Clinic/Center | 516 Bergen St, Newark, NJ 07108-1639 | 2008-03-12 |
| 1770784563 | Alameda Health System | Clinic/Center | 6066 Civiv Terrace Avenue, Newark, CA 94560-3756 | 2007-05-30 |
| 1710199468 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 80 Johnson Ave, Newark, NJ 07108-2729 | 2007-05-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.