NPIMap

Organization Active NPI

Neighborhood Health Services Corporation

  • Federally Qualified Health Center (FQHC)
  • Phillipsburg, NJ
National Provider Identifier
1003850488
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
24078 Issued in NJ
Legal business name
NEIGHBORHOOD HEALTH SERVICES CORPORATION
Practice address
427-429 South Main Street
Phillipsburg, NJ 08865
Phone
(908) 454-4600
Fax
(908) 454-3619
NPI assigned
Jun 15, 2006
Organization subpart
Yes
Parent organization
NEIGHBORHOOD HEALTH SERVICES CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Derrick C. Williams
Title
Vice President & Coo
Phone
(908) 753-6401

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 25MA5775700 NJ
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 25MA04375900 NJ
Federally Qualified Health Center (FQHC) 261QF0400X 24078 NJ Primary

Addresses

Primary practice location

427-429 South Main Street
Phillipsburg, NJ 08865

Mailing address

1700-58 Myrtle Avenue
Plainfield, NJ 07063
Phone (908) 753-6401

Other identifiers 1

IdentifierTypeStateIssuer
0110001MedicaidNJ

Other names 1

  • Neighborhood Health Center - Phillipsburg Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110713000253 NJ Part B Supplier - Clinic/Group Practice 3072402395 Receives reassigned benefits from 63 practitioners
3 other NPIs on this enrollment
Practice locations: Elizabeth, NJ; Plainfield, NJ

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Plainfield Health Center

Locations

250 2nd St
#54
Elizabeth, NJ 07206
Phone (908) 355-4459

184 1st St
Elizabeth, NJ 07206
Phone (908) 355-4459

250 2nd St
Elizabethport, NJ 07206

238 Spring St
Newton, NJ 07860
Phone (973) 328-9100

427 S Main St
Phillipsburg, NJ 08865
Phone (908) 454-4600

433 S Main St
Phillipsburg, NJ 08865

427 S Main St
#429
Phillipsburg, NJ 08865
Phone (908) 454-4600

950 Park Ave
Plainfield, NJ 07060
Phone (908) 731-4352

427 Darrow Ave
Plainfield, NJ 07060
Phone (484) 264-2174

1700 Myrtle Ave
#58
Plainfield, NJ 07063
Phone (908) 753-6401

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13669/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 67

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1003850488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700-58 MYRTLE AVENUE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "07063",
            "telephone_number": "908-753-6401",
            "fax_number": "908-753-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427-429 SOUTH MAIN STREET",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "08865",
            "telephone_number": "908-454-4600",
            "fax_number": "908-454-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTH SERVICES CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEIGHBORHOOD HEALTH SERVICES CORPORATION",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VICE PRESIDENT & COO",
        "authorized_official_telephone_number": "908-753-6401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA5775700",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA04375900",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NJ",
            "license": "24078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Health Center - Phillipsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.