James Park Healthcare Inc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

MA038265 Issued in NJ

Legal business name

JAMES PARK HEALTHCARE INC

Practice address

5 Stuyvesant Ave
Newark, NJ 07106-1711

Phone

(973) 399-3336

NPI assigned

Sep 16, 2006

Last updated

Aug 22, 2020By 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

Ms. Michelle Reese Covington

Title

Owner

Phone

(973) 399-3336

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

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.

• Wilfredo Tomas Correa Cruz, MD

  • Family Medicine Physician
  • Jersey City, NJ
  • NPI 1730116211
  NPD (past)
• Guy D. Murphy, M.D.

  • Obstetrics & Gynecology Physician
  • Morristown, NJ
  • NPI 1023191293
  NPD (past)
• Mustafa M Sidali, DO

  • Internal Medicine Physician
  • Belleville, NJ
  • NPI 1811982762
  NPD (past)
• Laura L Riggins, MD

  • Family Medicine Physician
  • Fort Washington, MD
  • NPI 1780695163
  NPD (past)
• Anita Vaughn, MD

  • Specialist
  • Clinton, MD
  • NPI 1578503942
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174629810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072030692",
            "telephone_number": "973-399-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 STUYVESANT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071061711",
            "telephone_number": "973-399-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES PARK HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COVINGTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "REESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-399-3336",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "MA038265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021717",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maanas M Jain
• Nishma Jain, MD
• Priyanshi Jain, MD
• Michael A. Jaker, M.D.
• Maisa Jallad
• James Santiago DC PA
• Aduke Candace James, DOULA
• Ean James, D.M.D., M.D.
• James Whitney James, M.D.
• Kenneth James

• Addiction (Substance Use Disorder) Counselor in Newark, NJ
• Providers in Newark, NJ by specialty
• Addiction (Substance Use Disorder) Counselor 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.