Organization Active NPI

Americhoice of New Jersey, Inc.

  • Health Maintenance Organization
  • Newark, NJ
National Provider Identifier
1104240696
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
AMERICHOICE OF NEW JERSEY, INC.
Practice address
100 Mulberry St
Gateway 4, 4TH FLR
Newark, NJ 07102-4056
Phone
(973) 565-5266
NPI assigned
Feb 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Mr. Michael Simone
Title
Executive Director, Long-Term Care
Phone
(973) 565-5266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

100 Mulberry St
Gateway 4, 4TH FLR
Newark, NJ 07102-4056

Mailing address

100 Mulberry St
Gateway 4, 4TH FLR
Newark, NJ 07102-4056

Other names 1

  • UnitedHealthcare Community Plan of New Jersey Doing business as

National Provider Directory

National Provider Directory

Locations

100 Mulberry St
Fl 4
Newark, NJ 07102
Phone (973) 565-5266

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1104240696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MULBERRY ST",
            "address_2": "GATEWAY 4, 4TH FLR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MULBERRY ST",
            "address_2": "GATEWAY 4, 4TH FLR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024056",
            "telephone_number": "973-565-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICHOICE OF NEW JERSEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "SIMONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, LONG-TERM CARE",
        "authorized_official_telephone_number": "973-565-5266",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UnitedHealthcare Community Plan of New Jersey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.