City of Newark

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CITY OF NEWARK

Doing business as

Newark Dept of Health and Community Wellness Dental Mobile Unit

Practice address

394 University Ave
Newark, NJ 07102-1221

Phone

(800) 734-7083

NPI assigned

Oct 17, 2024

Last updated

Sep 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ketlen Alsbrook

Title

Ceo & Director

Phone

(973) 733-5310

Specialties & licenses 1

Addresses

Other names 1

• Newark Dept of Health and Community Wellness Dental Mobile Unit Doing business as

Tax ID family

Dept Health and Human S14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

• City of Newark

  dba Newark Dept of Health/Mary Eliza Mahoney Hlth Ctr Mobile Unit #1

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1174362420
  NPD tax ID
• City of Newark

  dba Newark Department of Health and Community Welllness

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1295958908
  NPD tax ID
• City of Newark

  dba Newark Department of Health and Community Wellness

  • Community Health Clinic/Center
  • Newark, NJ
  • NPI 1356561278
  NPD tax ID
• City of Newark

  dba Newark Department of Health and Community Wellness

  • Community Health Clinic/Center
  • Newark, NJ
  • NPI 1376976704
  NPD tax ID
• City of Newark

  dba City of Newark/Dept of Health

  • Public Health or Welfare Agency
  • Newark, NJ
  • NPI 1427467034
  NPD tax ID
• City of Newark

  dba Newark Dept of Health & Community Wellness- BC

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1477914612
  NPD tax ID
• City of Newark

  dba Newark Department of Health and Community Wellness - Mobile Van Unit

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1548678303
  NPD tax ID
• City of Newark

  dba Newark Dept of Health/Mary Eliza Mahoney Hlth Ctr Mobile Unit #3

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1699514943
  NPD tax ID
• City of Newark

  dba Newark Department of Health & Community Wellness- Women's Health Ctr

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1720539620
  NPD tax ID
• City of Newark

  dba Newark Dept of Hlth & Comm Wellness-Dental Mary Eliza Mahoney Hlth Ctr

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1851757645
  NPD tax ID
• City of Newark

  dba Newark Department of Health/Mary Eliza Mahoney Hlth Ctr Mobile Unit #2

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1942059506
  NPD tax ID
• City of Newark

  dba Newark Department of Health and Community Wellness/Mary Eliza Mahoney

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1972206258
  NPD tax ID

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1104647635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WILLIAM ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021304",
            "telephone_number": "973-424-4271",
            "fax_number": "973-353-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 UNIVERSITY AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021221",
            "telephone_number": "800-734-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEWARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "ALSBROOK",
        "authorized_official_first_name": "KETLEN",
        "authorized_official_title_or_position": "CEO & DIRECTOR",
        "authorized_official_telephone_number": "973-733-5310"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newark Dept of Health and Community Wellness Dental Mobile Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frank Ciminello, MD
• Gabrielle Ciraco
• Citihealth RX Inc (CitiHealth Rx)
• City Hill CDC (Strive 4)
• City Medical of New Jersey, PC (CityMD Urgent Care)
• City of Newark (Newark Dept of Health/Mary Eliza Mahoney Hlth Ctr Mobile Unit #1)
• City of Newark (Newark Department of Health and Community Welllness)
• City of Newark (Newark Department of Health and Community Wellness)
• City of Newark (Newark Department of Health and Community Wellness)
• City of Newark (Newark Department of Health and Community Wellness)

• Federally Qualified Health Center (FQHC) in Newark, NJ
• Providers in Newark, NJ by specialty
• Federally Qualified Health Center (FQHC) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.