Communities United Healthcare Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05161500 Issued in NJ

Legal business name

COMMUNITIES UNITED HEALTHCARE CORPORATION

Practice address

800 Broad St
Suite Edison PL.
Newark, NJ 07102-2760

Phone

(973) 242-5588

NPI assigned

Sep 8, 2009

Last updated

Sep 8, 2009By 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

Mr. Edwin E Dunga, PHD

Title

President/Ceo

Phone

(862) 223-6324

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1154654259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CLEREMONT AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113126",
            "telephone_number": "862-223-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BROAD ST",
            "address_2": "SUITE EDISON PL.",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022760",
            "telephone_number": "973-242-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITIES UNITED HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "DUNGA",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "862-223-6324",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01301800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05161500",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NJ",
            "license": "37PC00373000",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00426600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "521121",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Newark, NJ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.