NEWARK COMMUNITY HEALTH CENTERS (NPI# 1235271206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235271206 |
| Entity Type | Organization |
| Organization Name | NEWARK COMMUNITY HEALTH CENTERS |
| Practice Address |
741 Broadway Newark NJ 07104-4309 |
| Practice Telephone | 9734831300 |
| Practice Fax Number | 9734831876 |
| Mailing Telephone | 9734831300 |
| Mailing Fax Number | 9734831876 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SHARON JOHNSON (PROVIDER) |
| Authorized Official Telephone | 9734831300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
70777 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | STATE LICENSE | MA37886 | 01 |
| Street Address |
741 BROADWAY |
| City | NEWARK |
| State | NJ |
| Zip Code | 07104-4309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871580647 | Alan Y Tso | Internal Medicine | 741 Broadway, Newark, NJ 07104-4309 | 2005-10-05 |
| 1538772165 | Monica Yvette Johnson | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2020-08-24 |
| 1518576206 | Akuwa D Gbogbotsi | Registered Nurse | 741 Broadway, Newark, NJ 07104-4309 | 2020-07-28 |
| 1487123386 | Srujana Kraleti | Dentist | 741 Broadway, Newark, NJ 07104-4309 | 2018-11-20 |
| 1942726369 | Beyyinah Hasan | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2017-08-17 |
| 1902346810 | Hearns Paul | Social Worker | 741 Broadway, Newark, NJ 07104-4309 | 2017-02-27 |
| 1952843849 | Alexandra Noel | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2016-11-09 |
| 1619427093 | Nadia Gabaud | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2016-10-10 |
| 1043669245 | Jorane Bonheur | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2016-06-08 |
| 1700262474 | Raksha Poojary | Dentist | 741 Broadway, Newark, NJ 07104-4309 | 2015-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
| 1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
| 1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
| 1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
| 1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
| 1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
| 1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
| 1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
| 1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
| Find all providers in zip 07104 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145262 | The Natural Hypertension Institute Inc | Clinic/Center | 207 Sutton Way, Newark, DE 19711-3244 | 2020-05-11 |
| 1356797195 | Saint Michaels Medical Center Inc. | Clinic/Center | 111 Central Ave, Newark, NJ 07102-1909 | 2016-05-11 |
| 1376976704 | City of Newark | Clinic/Center | 394 University Ave, Newark, NJ 07102-1221 | 2013-08-21 |
| 1982049557 | Newark Community Health Centers Inc | Clinic/Center | 228 Lafayette St, Newark, NJ 07105-1815 | 2013-05-08 |
| 1356561278 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740842889 | Rutherford Swim Association Inc. | Clinic/Center | 56 Elliott Pl, Rutherford, NJ 07070-1965 | 2019-06-28 |
| 1336657105 | Schafer Sports Center | Clinic/Center | 5 Graphics Dr, Ewing, NJ 08626 | 2018-01-16 |
| 1902315484 | Cape Counseling Services, Inc | Clinic/Center | 1046 Route 47 S Bldg B, Rio Grande, NJ 08242-1506 | 2017-09-27 |
| 1184149163 | Hudson Hospital Opco LLC | Clinic/Center | 1901 West St, Union City, NJ 07087-3375 | 2017-08-10 |
| 1750768552 | Royal Aquarius Empire | Clinic/Center | 287 Cheesequake Road, Bldg 1b, Suite # 6807, Parlin, NJ 08859 | 2015-04-30 |
| 1588911143 | Nutrition Girls LLC | Clinic/Center | 3 Thames Drive, Freehold, NJ 07728 | 2012-08-13 |
| 1619267697 | Maria Lourdes D. Aguilera | Clinic/Center | 5301 Broadway Avenue, West New York, NJ 07094 | 2011-04-12 |
| 1346552841 | Staffingplus Inc | Clinic/Center | 40-09 Berdan Ave, Fair Lawn, NJ 07410 | 2010-07-13 |
| 1265750269 | The Newstead Property Group LLC | Clinic/Center | 72 Speir Dr, South Orange, NJ 07079-1049 | 2010-05-14 |
| 1740422591 | Community Health Care, Inc | Clinic/Center | 75 Wescott Station Rd, Fairton, NJ 08302 | 2009-03-25 |
| Find all providers with the same taxonomy | ||||
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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.