Innercity Health Solutions LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INNERCITY HEALTH SOLUTIONS LLC

Practice address

14 Lee Ave
Haledon, NJ 07508-1225

Phone

(862) 849-9319

NPI assigned

Feb 11, 2021

Last updated

Apr 5, 2022By 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

Samantha GreeneNPI 1235721994

Title

Ceo

Phone

(862) 849-9319

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha Greene

  • Clinical Medical Laboratory
  • Haledon, NJ
  • NPI 1235721994
  NPD Authorized official

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1114510088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LEE AVE",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081225",
            "telephone_number": "862-849-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LEE AVE",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081225",
            "telephone_number": "862-849-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERCITY HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-849-9319"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haledon Physical Therapy II LLC.
• Haledon Public School
• Amir M Hanna
• Hello Dental LLC
• Innercity Health Outreach
• Inspirational Counseling & Consulting
• Serenity Johnson
• Victoria Johnson, RN
• Ahmad Nizar Kahf, MD
• Amr Kahf, M.D.

• Clinical Medical Laboratory in Haledon, NJ
• Providers in Haledon, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.