MCG BH Pact Program

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

26NR09838600 Issued in NJ

Legal business name

MCG BH PACT PROGRAM

Practice address

269 Oliver St
Newark, NJ 07105-2507

Phone

(973) 466-1351

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Charity O Ezeala

Title

RN

Phone

(973) 466-1351

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205957917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CARPENTER RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545280",
            "telephone_number": "732-650-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 OLIVER ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052507",
            "telephone_number": "973-466-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCG BH PACT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EZEALA",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "973-466-1351"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "26NR09838600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley McDuffie, CNM
• Donna McFadden
• Patrick Michael McFadden
• Alanna Miriam McFall
• Jamal McFarlane, M.D.
• Andrew McGinniss, M.D.
• Madison McGourty, PA-C
• Molly McGroary
• Deneshia McIntosh
• Esron H McIntosh

• Case Management Agency in Newark, NJ
• Providers in Newark, NJ by specialty
• Case Management Agency 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.