PROSPECT EOGH, INC. (NPI# 1043785058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043785058 |
| Entity Type | Organization |
| Organization Name | PROSPECT EOGH, INC. |
| Other Organization Name | EAST ORANGE GENERAL HOSPITAL |
| Practice Address |
240 Central Ave East Orange NJ 07018-3313 |
| Practice Telephone | 3109434500 |
| Mailing Telephone | 3109434500 |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | ELLEN SHIN (SECRETARY) |
| Authorized Official Telephone | 3109434500 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROSPECT EOGH, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| East Orange General Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578922258 | Prospect Eogh, Inc. | Hospitalist | 240 Central Ave, East Orange, NJ 07018-3313 | 2016-02-23 |
| 1578932604 | Prospect Eogh, Inc. | Clinic/Center | 240 Central Ave, East Orange, NJ 07018-3313 | 2015-09-18 |
| 1760851893 | Prospect Eogh, Inc. | Clinic/Center | 240 Central Ave, East Orange, NJ 07018-3313 | 2015-09-18 |
| 1013386143 | Prospect Eogh, Inc. | General Acute Care Hospital | 240 Central Ave, East Orange, NJ 07018-3313 | 2015-09-18 |
| 1659740785 | Prospect Eogh, Inc. | Psychiatric Unit | 240 Central Ave, East Orange, NJ 07018-3313 | 2015-09-18 |
| Street Address |
240 CENTRAL AVE |
| City | EAST ORANGE |
| State | NJ |
| Zip Code | 07018-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023006186 | Thomas Mcbride | Clinical Neuropsychologist | 240 Central Ave, East Orange, NJ 07018-3313 | 2005-10-12 |
| 1700303278 | Pamela Goldsteen | Social Worker | 240 Central Ave, East Orange, NJ 07018-3313 | 2017-08-25 |
| 1740710318 | Barbara Geffrand | Counselor | 240 Central Ave, East Orange, NJ 07018-3313 | 2017-06-15 |
| 1578922258 | Prospect Eogh, Inc. | Hospitalist | 240 Central Ave, East Orange, NJ 07018-3313 | 2016-02-23 |
| 1578932604 | Prospect Eogh, Inc. | Clinic/Center | 240 Central Ave, East Orange, NJ 07018-3313 | 2015-09-18 |
| 1760851893 | Prospect Eogh, Inc. | Clinic/Center | 240 Central Ave, East Orange, NJ 07018-3313 | 2015-09-18 |
| 1013386143 | Prospect Eogh, Inc. | General Acute Care Hospital | 240 Central Ave, East Orange, NJ 07018-3313 | 2015-09-18 |
| 1659740785 | Prospect Eogh, Inc. | Psychiatric Unit | 240 Central Ave, East Orange, NJ 07018-3313 | 2015-09-18 |
| 1720233315 | Alina Tyndall | Family Medicine | 240 Central Ave, East Orange, NJ 07018-3313 | 2008-11-24 |
| 1326172230 | Meredith J Weitz | Speech-Language Pathologist | 240 Central Ave, East Orange, NJ 07018-3313 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902373 | New Vision Therapeutic Counseling Services | Counselor | 137 Evergreen Place Suite 3a, East Orange, NJ 07018 | 2018-12-01 |
| 1528535465 | Chioma Eunice Agbo | Nurse Practitioner | 320 South Harrison Street, Apt 15 E, East Orange, NJ 07018 | 2018-10-29 |
| 1023596020 | Claremont Medical & Rehab Home Care Inc | Home Health | 134 Evertgreen Place, Suite 405, East Orange, NJ 07018 | 2018-08-01 |
| 1205314507 | Jaleesa Myers | Social Worker | 320 S Harrison St Apt 20a, East Orange, NJ 07018 | 2018-07-30 |
| 1609353390 | Simone Joyce Hairston | Dietitian, Registered | Va Department of Veteran Affairs, 385 Tremont Ave., East Orange, NJ 07018 | 2018-07-25 |
| 1184101024 | Tejumade Veronica Falae | Registered Nurse | 6o Evergreen Place, Suite 307, East Orange, NJ 07018 | 2018-07-24 |
| 1659882082 | Bmg East Orange LLC | Internal Medicine | 200 Freeway Dr E Ste 305, East Orange, NJ 07018 | 2017-10-12 |
| 1548618341 | Golden Years Day Care Inc. | Clinic/Center | 50 South Munn Ave, East Orange, NJ 07018 | 2016-06-02 |
| 1669833703 | Ashley Ciccarelli | Social Worker | 86 South Harrison Street, East Orange, NJ 07018 | 2016-03-17 |
| 1861866469 | Antoinette Parks | Case Manager/Care Coordinator | 86 South Harrison St, East Orange, NJ 07018 | 2015-11-19 |
| Find all providers in zip 07018 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629564653 | Dialysis Center of Mountainside LLC | Clinic/Center | 20 Sussex Avenue, East Orange, NJ 07018-4228 | 2018-07-02 |
| 1912226051 | Norman Village Kidney Clinic LLC | Clinic/Center | 515 N Arlington Ave, East Orange, NJ 07017-4010 | 2010-05-28 |
| 1548299373 | Dva Renal Healthcare Inc | Clinic/Center | 14-20 Prospect St, East Orange, NJ 07017-2238 | 2006-07-02 |
| 1942304720 | Nna of East Orange, L.L.C. | Clinic/Center | 110 S Grove St, East Orange, NJ 07018-4102 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356963938 | Usrc Gloucester, LLC | Clinic/Center | 601 Berlin Cross Keys Rd, Sicklerville, NJ 08081-9563 | 2020-05-18 |
| 1679192876 | Knickerbocker Dialysis Inc | Clinic/Center | 1734 Hancock St, Ridgewood, NJ 11385-4734 | 2020-04-09 |
| 1750910295 | Elandon Dialysis LLC | Clinic/Center | 820 N Rte 17, Paramus, NJ 07652-3104 | 2020-04-06 |
| 1780212365 | Zellier Dialysis LLC | Clinic/Center | 1260 Route 22 E, North Plainfield, NJ 07060 | 2020-03-30 |
| 1437798386 | Total Renal Care Inc | Clinic/Center | 1800 State Route 34 Ste 302, Wall Township, NJ 07719-9146 | 2019-12-24 |
| 1598306276 | Fresenius Medical Care Passaic, LLC | Clinic/Center | 10 Clifton Blvd Ste 1, Clifton, NJ 07011-3802 | 2019-10-03 |
| 1821646035 | Isd Renal Inc | Clinic/Center | 262 Broad St, Newark, NJ 07104-3809 | 2019-08-30 |
| 1699323824 | Claymount Dialysis LLC | Clinic/Center | 21 Cornwell Dr, Bridgeton, NJ 08302-3632 | 2019-08-30 |
| 1962064758 | Fresenius Medical Care Bridgeton, LLC | Clinic/Center | 12 Cornwell Dr, Bridgeton, NJ 08302-3633 | 2019-07-02 |
| 1790347698 | Wellbound of Cherry Hill, LLC | Clinic/Center | 1945 Route 70 E Ste A, Cherry Hill, NJ 08003-2117 | 2019-07-01 |
| Find all providers with the same taxonomy | ||||
| City | EAST ORANGE |
| Zip Code | 07018 |
Please comment or provide details below to improve the information on PROSPECT EOGH, INC..
| 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.