NEWARK WAYNE COMMUNITY HOSPITAL (NPI# 1770671182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770671182 |
| Entity Type | Organization |
| Organization Name | NEWARK WAYNE COMMUNITY HOSPITAL |
| Practice Address |
1200 Driving Park Ave Pob 111 Driving Park Ave Newark NY 14513-1057 |
| Mailing Address |
1200 Driving Park Ave P.o. Box 111 Driving Park Ave Newark NY 14513-1057 |
| Practice Telephone | 3153322022 |
| Mailing Telephone | 3153322022 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | THOMAS CRILLY (CFO/EXEC. VP) |
| Authorized Official Telephone | 5859225497 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 5820000H | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CHOICE INPATIENT | 012002611 | 01 |
| NY | PREFERRED CARE | HO1300 | 01 |
| NY | 03001654 | 05 | |
| NY | RAILROAD MEDICARE | CA3158 | 01 |
| NY | BLUE CHOICE OUTPATIENT | 014002611 | 01 |
| NY | PREFERRED CARE INPATIENT | ESHO1301 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780752568 | Newark Wayne Community Hospital | Skilled Nursing Facility | 100 Sunset Dr, Newark, NY 14513-1068 | 2006-12-01 |
| 1851594774 | Newark Wayne Community Hospital | Skilled Nursing Facility | 1200 Driving Park Ave, Newark, NY 14513-1057 | 2007-06-07 |
| 1346369212 | Newark Wayne Community Hospital | General Acute Care Hospital | 1200 Driving Park Ave, Newark, NY 14513-1057 | 2007-03-29 |
| 1295803070 | Newark Wayne Community Hospital | Skilled Nursing Facility | 100 Sunset Dr, Newark, NY 14513-1068 | 2006-12-01 |
| 1902989221 | Newark Wayne Community Hospital | Psychiatric Unit | 1200 Driving Park Ave, Newark, NY 14513-1057 | 2006-10-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NEWARK WAYNE COMMUNITY HOSPITAL | 1250 Driving Park Ave, Newark, NY 14513-1057 |
| Street Address |
1200 DRIVING PARK AVE POB 111 DRIVING PARK AVE |
| City | NEWARK |
| State | NY |
| Zip Code | 14513-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741898 | Lawrence N. Chessin | Internal Medicine | 1200 Driving Park Ave, Newark, NY 14513-1057 | 2005-06-21 |
| 1477162725 | Aidan Sullivan | Physician Assistant | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2020-07-23 |
| 1649898834 | Nicholas D Biermann | Physician Assistant | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2020-07-14 |
| 1780222604 | Erin Hart | Physical Therapist | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2019-12-11 |
| 1861030785 | Lauren Conaty | Physical Therapist | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2019-12-11 |
| 1255978540 | Andrea Lorene Ide | Physical Therapist | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2019-12-05 |
| 1326682618 | Thomas William Jackson Mspt | Physical Therapist | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2019-10-30 |
| 1578113189 | Natalie A Davidson | Nurse Practitioner | 1200 Driving Park Ave, Newark, NY 14513 | 2019-09-16 |
| 1164076659 | Meritt F Rogers | Physician Assistant | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2019-08-01 |
| 1992366744 | Allison Marie Triou | Physician Assistant | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2019-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
| Find all providers in zip 14513 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538605795 | Christiana Care Health System | General Acute Care Hospital | Christiana Care Heart & Vascular Health, 4755 Ogletown-stanton Road, Newark, DE 19718-0001 | 2017-01-12 |
| 1295026334 | University of Medicine and Dentistry of New Jersey | General Acute Care Hospital | 62 Marrow St, Newark, NJ 07103-3131 | 2011-04-24 |
| 1336456201 | Christiana Care Health Services | General Acute Care Hospital | 4755 Stanton Ogletown Rd, Newark, DE 19718-0001 | 2010-09-13 |
| 1912173667 | Christiana Care Health Services | General Acute Care Hospital | 4745 Ogletown Stanton Rd Ste 128, Newark, DE 19713-2082 | 2008-05-02 |
| 1487863668 | Center for Childhood and Neonatal Surgery | General Acute Care Hospital | 90 Bergen St. Suite 7100, Newark, NJ 07103 | 2007-05-22 |
| 1306053483 | University Hospital | General Acute Care Hospital | 150 Bergen St # D106, Newark, NJ 07103-2496 | 2007-05-17 |
| 1578694626 | Christianacarehealthservices | General Acute Care Hospital | 30 Garvey Ln, Newark, DE 19702-6302 | 2007-03-08 |
| 1487790663 | University Psychiatric Associates | General Acute Care Hospital | Upa, 183 South Orange Ave, Newark, NJ 07103 | 2007-01-29 |
| 1083192298 | Christiana Care Health System | General Acute Care Hospital | 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200 | 2018-07-31 |
| 1487181228 | Newark Beth Israel Medical Center | General Acute Care Hospital | 201 Lyons Ave, Department of Emergency Medicine, Newark, NJ 07112-2027 | 2017-05-11 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on NEWARK WAYNE COMMUNITY HOSPITAL.
| 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.