Northwest Essex Community Healthcare Network, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NORTHWEST ESSEX COMMUNITY HEALTHCARE NETWORK, INC.

Practice address

570 Belleville Ave
Belleville, NJ 07109-1308

Phone

(973) 450-3100

Fax

(973) 450-1189

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Lucibello, CSW,MPA

Title

Executive Director

Phone

(973) 450-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Northwest Essex Community Healthcare Network Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Northwest Essex Community Healthcare

  • Community/Behavioral Health Agency
  • Belleville, NJ
  • NPI 1942749429
  NPD tax ID
• Northwest Essex Community Healthcare Network, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Belleville, NJ
  • NPI 1174361166
  NPD tax ID

Locations

Interoperability endpoints

• Direct secure messaging: jschaper@direct.northwestessex.org
• FHIR API: https://api.qualifacts.org/api/fhir/northwestessex/r4/

Practitioners 3

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

• Ademola Adesola Ogunruku, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Belleville, NJ
  • NPI 1598376501
  Medicare reassignment Care Compare group NPD
• Diane Decarolis, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Clifton, NJ
  • NPI 1285884890
  Medicare reassignment Care Compare group
• Anwar Ghali, MD

  • Psychiatry Physician
  • Elizabeth, NJ
  • NPI 1093787145
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043262199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 BELLEVILLE AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091308",
            "telephone_number": "973-450-3100",
            "fax_number": "973-450-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 BELLEVILLE AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091308",
            "telephone_number": "973-450-3100",
            "fax_number": "973-450-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ESSEX COMMUNITY HEALTHCARE NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUCIBELLO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-450-3100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSW,MPA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Essex Medical Assoc PA
• North Jersey Ear Nose & Throat
• North Jersey Ear Nose & Throat
• Northern New Jersey Anesthesia Associates, LLC
• Northwest Essex Community Healthcare
• Northwest Essex Community Healthcare Network, Inc.
• Nulife Health LLC
• Maria A Nunez
• Nutley Kidney Clinic LLC
• Ngozi Nwafor, PHARMD

• Case Management Agency in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Case Management Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.