CITY OF NEWARK (NPI# 1477914612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477914612 |
| Entity Type | Organization |
| Organization Name | CITY OF NEWARK |
| Other Organization Name | NEWARK DEPT OF HEALTH & COMMUNITY WELLNESS- BC |
| Practice Address |
30 N Munn Ave # 30a Newark NJ 07106-1411 |
| Practice Telephone | 9738776111 |
| Mailing Telephone | 9738776111 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |
| Authorized Official Name | OLUYINKA FADAHUNSI (FINANCIAL OPERATIONS OFFICER) |
| Authorized Official Telephone | 9737337558 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
24765 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0390739 | 05 |
| Other Name | Type Code |
|---|---|
| Newark Dept of Health & Community Wellness- BC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528269883 | City of Newark | Ambulance | 1140 Hollander St, Newark, OH 43055-6043 | 2007-05-31 |
| 1720539620 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2016-10-17 |
| 1851757645 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2016-01-08 |
| 1427467034 | City of Newark | Public Health or Welfare | 110 William St, Newark, NJ 07102-1304 | 2014-08-07 |
| 1548678303 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2014-07-24 |
| 1336573906 | City of Newark | Clinic/Center | 140 Bergen Street, Newark, NJ 07103 | 2013-08-30 |
| 1376976704 | City of Newark | Clinic/Center | 394 University Ave, Newark, NJ 07102-1221 | 2013-08-21 |
| 1356561278 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2007-04-26 |
| 1295958908 | City of Newark | Clinic/Center | 110 William St, Newark, NJ 07102-1304 | 2007-04-11 |
| Street Address |
30 N MUNN AVE # 30A |
| City | NEWARK |
| State | NJ |
| Zip Code | 07106-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982175535 | Mayurkumar M Rana | Pharmacist | Komishane's Pharmacy, 199 Stuyvesant Ave, Newak, NJ 07106 | 2018-12-07 |
| 1710457346 | Vikki Hatcher | Massage Therapist | 525 Lrvington Avenue Floor 2, Newark, NJ 07106 | 2018-11-27 |
| 1942728258 | Amen Transporation LLC | Transportation Broker | 105 Lenox Street, Newark, NJ 07106 | 2017-09-07 |
| 1073898466 | Rashmi Singh | Pharmacist | 561-579 Irvington Ave, Newark, NJ 07106 | 2011-10-17 |
| 1760767669 | Shridevi Patel | Pharmacist | 561 Irvington Avenue, Newark, NJ 07106 | 2011-10-12 |
| 1083629067 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 561 Irvington Ave # 579, Newark, NJ 07106 | 2006-07-29 |
| 1184239352 | Chenbin Frederick Liao | Pharmacist | 561-579 Irvington Ave, Newark, NJ 07106 | 2020-09-14 |
| 1740550763 | Maria Veronica Cruz Camacho | Pharmacist | 561-579 Irvington Ave, Newark, NJ 07106 | 2012-01-06 |
| 1093015000 | Dereck L Dillard | Home Health Aide | 238 Smith St, Newark, NJ 07106 | 2010-10-25 |
| 1245240571 | Raisa Samuylova | Dentist | 5 Manor Dr, Suite #1c, Newark, NJ 07106 | 2006-08-09 |
| Find all providers in zip 07106 | ||||
| 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 |
| 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 |
| 1710475322 | Rutgers Nursing Faculty Practice | Clinic/Center | 449 Broad St, Newark, NJ 07102-3224 | 2018-04-30 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on CITY OF NEWARK.
| 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.