Trinity Uame Church

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

2000072-09 Issued in NJ

Legal business name

TRINITY UAME CHURCH

Doing business as

Press Toward the Mark

Practice address

226-230 Warren St
Newark, NJ 07103-3530

Phone

(973) 230-1633

Fax

(973) 230-2890

NPI assigned

Feb 24, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Diana Jerman, CDA

Title

Program Coordinator

Phone

(973) 230-1633

Specialties & licenses 1

Addresses

Other names 1

• Press Toward the Mark Doing business as

Locations

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1013157593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226-230 WARREN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033530",
            "telephone_number": "973-230-1633",
            "fax_number": "973-230-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226-230 WARREN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033530",
            "telephone_number": "973-230-1633",
            "fax_number": "973-230-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY UAME CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "JERMAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "973-230-1633",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CDA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000072-09",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Press Toward the Mark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Newark, NJ
• Providers in Newark, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.