NEWARK COMMUNITY HEALTH CENTERS, INC (NPI# 1093942153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093942153 |
| Entity Type | Organization |
| Organization Name | NEWARK COMMUNITY HEALTH CENTERS, INC |
| Practice Address |
155 Jefferson St Newark NJ 07105-1706 |
| Mailing Address |
741 Broadway Newark NJ 07104-4309 |
| Practice Telephone | 9735891271 |
| Practice Fax Number | 9735891272 |
| Mailing Telephone | 9734831300 |
| Mailing Fax Number | 9734833787 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | PAMELA CLARKE (PRESIDENT/CEO) |
| Authorized Official Telephone | 9734831300 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | Y |
| Parent Organization Name | NEWARK COMMUNITY HEALTH CENTERS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | STATE LICENSE | 24356 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366993586 | Newark Community Health Centers, Inc | Clinic/Center | 92-96 Ferry Street, Newark, NJ 07105-1817 | 2016-10-24 |
| Street Address |
155 JEFFERSON ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07105-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548260557 | Elm Street Hospital Physicians, P.a. | General Practice | 155 Jefferson St, Newark, NJ 07105-1706 | 2005-08-01 |
| 1316478399 | Fady Sorial | Pharmacist | 155 Jefferson St, Newark, NJ 07105-1706 | 2017-03-22 |
| 1588033641 | Pharmaceutical Prescription Service, LLC | Pharmacy | 155 Jefferson St, Newark, NJ 07105-1706 | 2015-09-18 |
| 1922371079 | Bell Med PC | Psychiatry & Neurology | 155 Jefferson St, 5th Floor, Newark, NJ 07039 | 2012-02-21 |
| 1740558832 | Saint Michael's Medical Center | Psychiatric Unit | 155 Jefferson St, Newark, NJ 07105-1706 | 2011-12-05 |
| 1790081255 | Life At Saint Michael's Inc. | Clinic/Center | 155 Jefferson St, Newark, NJ 07105-1706 | 2011-02-01 |
| 1336467539 | Belinda Luce Smith | Nurse Practitioner | 155 Jefferson St, 3rd Floor-newark Community Health Centers, Inc., Newark, NJ 07105-1706 | 2010-05-12 |
| 1205030301 | Marcelo Esguerra Jr. | Physical Therapist | 155 Jefferson St, Newark, NJ 07105-1706 | 2007-06-13 |
| 1780890814 | Leon G. Smith Jr. Md, LLC | Specialist | 155 Jefferson St, Newark, NJ 07105-1706 | 2007-05-15 |
| 1083782890 | Essex Ironbound Anesthesiologist, LLC | Anesthesiology | 155 Jefferson St, Newark, NJ 07105-1706 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802819 | Ferry Pharmacy | Pharmacy | 165 Ferry St, Newark, NJ 07105 | 2018-05-28 |
| 1467969287 | Gabriela Cristina Celeiro | Social Worker | 243 East Kinney Street, Newark, NJ 07105 | 2018-01-02 |
| 1194238899 | Astra Health Center of Newark LLC | Internal Medicine | 41 Wilson Ave., Newark Nj, NJ 07105 | 2017-11-16 |
| 1760909501 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 140 42 Ferry St, Newark, NJ 07105 | 2017-08-23 |
| 1487185286 | Mercy Drive Regional Corporation | Day Training, Developmentally Disabled Services | 498-500 Ferry Street 1st Floor, Newark, NJ 07105 | 2017-03-23 |
| 1891236329 | Mercy Drive Regional Corporation | Home Health | 498 Ferry Street, Newark, NJ 07105 | 2017-03-16 |
| 1073968640 | Neha Rajkotia | Physical Therapist | 360 Avenue P, Preferred Freezer Bldg, 3rd Floor Immedicare, Newark, NJ 07105 | 2016-05-02 |
| 1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
| 1982099602 | Fermin Alejandro Padron | Pharmacist | 140-42 Ferry Street, Newark, NJ 07105 | 2015-03-31 |
| 1598162968 | Peak Chiropractic & Wellness LLC | Chiropractor | 411 419 Chestnut St, 1a, Newark, NJ 07105 | 2014-12-01 |
| Find all providers in zip 07105 | ||||
| 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 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on NEWARK COMMUNITY HEALTH CENTERS, 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.