City of Newark

A Medicare group practice based in Newark, NJ: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 8123169182), with 24 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8123169182The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
NJ
Enrollments
4
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20100113000101 NJ Part B Supplier - Clinic/Group Practice 1356561278
O20101229000720 NJ Part A Provider - Federally Qualified Health Center (FQHC) 1295958908
O20140131001789 NJ Part A Provider - Federally Qualified Health Center (FQHC) 1376976704
O20240610000283 NJ Part A Provider - Federally Qualified Health Center (FQHC) 1972206258

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 24

Clinicians who reassign their Medicare benefits to this group (24) or whom Care Compare lists as members (11).

Sources for this page