NEWARK DEPARTMENT OF HEALTH AND COMMUNITY WELLNESS – NPI #1336573906
Clinic/Center

NEWARK DEPARTMENT OF HEALTH AND COMMUNITY WELLNESS is an AHC clinic located in NEWARK, NJ. NPPES has assigned the NPI number 1336573906 to NEWARK DEPARTMENT OF HEALTH AND COMMUNITY WELLNESS on August 30, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NEWARK DEPARTMENT OF HEALTH AND COMMUNITY WELLNESS” is a dba name, the actual legal business name for this organization is CITY OF NEWARK. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 9 years ago on Jan 26, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEWARK DEPARTMENT OF HEALTH AND COMMUNITY WELLNESS below.

NPI Profile for
CITY OF NEWARK

NPI Number
1336573906
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CITY OF NEWARK
Doing Business As (dba): NEWARK DEPARTMENT OF HEALTH AND COMMUNITY WELLNESS
Primary location
140 BERGEN STREET
NEWARK, NJ 07103
Phone: (973) 733-7600 Fax:
Mailing address
110 WILLIAM ST
NEWARK, NJ 07102-1304
Phone: (973) 733-7600 Fax:
Organization Subpart
No
Authorized Official
OLUYINKA FADAHUNSI
FINANCIAL OPERATIONS OFFICER
Phone: (973) 733-7558
Updated
Identifiers

Identifiers for NEWARK DEPARTMENT OF HEALTH AND COMMUNITY WELLNESS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ0403563
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
NJ 70782

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.