SAINT MICHAELS MEDICAL CENTER INC. (NPI# 1124475991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124475991 |
| Entity Type | Organization |
| Organization Name | SAINT MICHAELS MEDICAL CENTER INC. |
| Other Organization Name | THE PETER HO MEMORIAL CLINIC |
| Practice Address |
111 Central Ave Newark NJ 07102-1909 |
| Practice Telephone | 9738775649 |
| Practice Fax Number | 9738772824 |
| Mailing Telephone | 9738775649 |
| Mailing Fax Number | 9738772824 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |
| Authorized Official Name | DAVID A RICCI (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7324587955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Peter Ho Memorial Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356797195 | Saint Michaels Medical Center Inc. | Clinic/Center | 111 Central Ave, Newark, NJ 07102-1909 | 2016-05-11 |
| Street Address |
111 CENTRAL AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687806 | Sandhya R Makkapati | Specialist | 111 Central Ave, Newark, NJ 07102-1909 | 2005-05-23 |
| 1740892496 | Stella Monday Wangai | Nurse Practitioner | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-22 |
| 1144832932 | Sonya Wali | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-21 |
| 1023620358 | Chrystina Mildred Kiwan | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-18 |
| 1518579838 | Alicia Kovach | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-18 |
| 1861003659 | Riyashat Kazmi | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-13 |
| 1114537610 | Kalee Larsen | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-09 |
| 1215547567 | Nirav Patel | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-02 |
| 1720697238 | Sneha Bijoy | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-07-30 |
| 1407465891 | Ruhma Ali | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-07-30 |
| Find all providers in the same location | ||||
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1992096978 | Healthworks Med Group of Delaware P A | Clinic/Center | 587 Old Baltimore Pike, Newark, DE 19702-1307 | 2011-04-26 |
| 1871826230 | Empire Medical II, LLC | Clinic/Center | 757 Mt. Prospect Avenue, Newark, NJ 07104-3220 | 2009-09-16 |
| 1508886664 | Delores C Gayle | Clinic/Center | 742 Clinton Ave, Newark, NJ 07108-1202 | 2006-07-20 |
| 1437649845 | Citylife Clinics Nj, PC | Clinic/Center | 44 Jones St, Newark, NJ 07103 | 2018-05-11 |
| 1134506579 | Dr. Mark Glassner | Clinic/Center | 324 E Main St, Suite 202, Newark, DE 19711-7150 | 2015-05-06 |
| 1811207228 | Paredes Medical Associates Pa | Clinic/Center | 337 Bloomfield Ave, Newark, NJ 07107-2405 | 2010-10-19 |
| 1346407715 | Ironbound Medical Services, LLC | Clinic/Center | 221 Chestnut St, Newark, NJ 07105-1558 | 2008-05-21 |
| 1992987937 | Ulysses V Agpaoa Md PC | Clinic/Center | 539 Bloomfield Ave, Newark, NJ 07107-1385 | 2007-11-30 |
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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.