Community Health and Immunization Services
Organization Active NPI Community Health Worker · Englewood, NJ
NPI 1215340310 · NPPES record last updated Oct 8, 2021
Key facts
- NPI
- 1215340310
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 25MB05677400 (NJ)
- Legal business name
- COMMUNITY HEALTH AND IMMUNIZATION SERVICES
- Practice address
- 401A S Van Brunt St
Suite 202B
Englewood, NJ 07631-4600 - Phone
- (201) 603-9996
- NPI assigned
- Jun 5, 2014
- Organization subpart
- No
Authorized official
- Name
- Rebekah Suazo
- Title
- Medical Billing Supervisor
- Phone
- (480) 646-9099
Corporate family (same tax ID) 31
National Provider Directory
- Tax ID family
- Community Health and Immunization Services LLC
Locations
401A S Van Brunt St
Ste 202B
Englewood, NJ 07631
Phone (201) 603-9996
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker |
172V00000X | 25MB05677400 | NJ | Yes |
Addresses
Primary practice location
401A S Van Brunt St
Suite 202B
Englewood, NJ 07631-4600
Mailing address
668 N 44TH St Ste 100W
Phoenix, AZ 85008-6507
Phone (877) 358-8646
Other providers in Englewood, NJ
- Columbia Doctors of New Jersey, P. C.
- Columbia Doctors of New Jersey, P. C.
- Columbiadoctors of Bergen County
- Come Dental, LLC
- Communication Discovery, LLC
- Complete Care at Inglemoor LLC
- Complete Vascular Inc
- Complete Women'S Healthcare LLC
- Comprehensive Medical Care PC
- Comprehensive OB/GYN, PA
All providers in Englewood, NJ · Community Health Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.