NEWARK EXTENED CARE FACILITY INC (NPI# 1215115274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215115274 |
| Entity Type | Organization |
| Organization Name | NEWARK EXTENED CARE FACILITY INC |
| Practice Address |
65 Jay St Newark NJ 07103-3235 |
| Practice Telephone | 9734836800 |
| Practice Fax Number | 9734831841 |
| Mailing Telephone | 9734836800 |
| Mailing Fax Number | 9734831841 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |
| Authorized Official Name | MISS ELKY EISDORFER (ASSISTANT ADMINISTRATOR) |
| Authorized Official Telephone | 9734836800 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | Y |
| Parent Organization Name | NEWARK EXTENDED CARE FACILITY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
308335 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3749908 | 05 |
| Street Address |
65 JAY ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902895501 | Newark Extended Care Facility, Inc. | Skilled Nursing Facility | 65 Jay St, Newark, NJ 07103-3235 | 2005-10-17 |
| 1447737077 | Ivy Nnorom | Nurse Practitioner | 65 Jay St, Newark, NJ 07103-3235 | 2018-07-26 |
| 1215312558 | Amanda Singletary | Occupational Therapist | 65 Jay St, Newark, NJ 07103-3235 | 2015-07-28 |
| 1255720124 | Sight Services P.C. | Optometrist | 65 Jay St, Newark, NJ 07103-3235 | 2015-01-15 |
| 1336546639 | Sinai Center for Rehabilitation and Healthcare LLC | Skilled Nursing Facility | 65 Jay St, Newark, NJ 07103-3235 | 2014-12-02 |
| 1063645265 | Peter L Basso | Pharmacist | 65 Jay St, Newark, NJ 07103-3235 | 2009-09-03 |
| 1962534008 | Paulette Mary Kliminski | Psychologist | 65 Jay St, Newark, NJ 07103-3235 | 2007-03-12 |
| 1558451427 | 15w Pharmacy Inc | Pharmacy | 65 Jay St, Newark, NJ 07103-3235 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891294328 | Venus Senior LLC | Clinic/Center | 35145 Newark Blvd, Newark, CA 94560-1219 | 2018-02-10 |
| 1558802488 | Central Ward Social Adult Daycare Center | Clinic/Center | 167 S 6th St, Newark, NJ 07103-2408 | 2017-03-11 |
| 1679805451 | Joy Cometh In The Morning, LLC | Clinic/Center | 30-34 Hawthorne Avenue, Newark, NJ 07112-1415 | 2010-02-04 |
| 1952506941 | Carol Strawn Center | Clinic/Center | 126 West Church Street, Newark, OH 43055-5033 | 2007-06-19 |
| 1528199551 | Clarendon Gardens Social Center | Clinic/Center | 212 Clifton Ave, Newark, NJ 07104-1907 | 2007-03-09 |
| 1629112255 | Acsr, Inc. | Clinic/Center | 1252 Capitol Trl, Newark, DE 19711-3924 | 2007-02-16 |
| 1437536414 | Sinai Center for Rehabilitation | Clinic/Center | 65 Jay Street, Newark, NJ 07103 | 2015-04-29 |
| 1124422688 | America Society of Thermalism and Climatology | Clinic/Center | 180 S Orange Ave Apt 1405, Newark, NJ 07103-2766 | 2014-10-13 |
| 1962741611 | Meridian Adult Day Care LLC | Clinic/Center | 495 N 13th St, Newark, NJ 07107-1317 | 2013-01-31 |
| 1790081255 | Life At Saint Michael's Inc. | Clinic/Center | 155 Jefferson St, Newark, NJ 07105-1706 | 2011-02-01 |
| Find all providers in NEWARK | ||||
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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.