Organization Active NPI

Neighborhood Health Services Corporation

Doing business as Neighborhood Health Center - Newton

  • Federally Qualified Health Center (FQHC)
  • Newton, NJ
National Provider Identifier
1235179045
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
23445 Issued in NJ
Legal business name
NEIGHBORHOOD HEALTH SERVICES CORPORATION
Doing business as
Neighborhood Health Center - Newton
Practice address
238 Spring Street
Newton, NJ 07860
Phone
(973) 383-7001
Fax
(973) 383-3088
NPI assigned
Jun 8, 2006
Last updated
Oct 22, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
NEIGHBORHOOD HEALTH SERVICES CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Mr. Derrick C. Williams
Title
Vice President & Coo
Phone
(908) 753-6401

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 23445 NJ Primary
Dentist 122300000X
Specialist 174400000X 25MA06505500 NJ
Internal Medicine Physician 207R00000X
Internal Medicine Physician 207R00000X 25MA5775700 NJ
Pediatrics Physician 208000000X 25MA04375900 NJ

Addresses

Primary practice location

238 Spring Street
Newton, NJ 07860

Mailing address

1700-58 Myrth Avenue
Plainfield, NJ 07860
Phone (908) 753-6401

Other identifiers 1

IdentifierTypeStateIssuer
0011680MedicaidNJ

Other names 1

  • Neighborhood Health Center - Newton Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110713000253 NJ Part B Supplier - Clinic/Group Practice 3072402395 Receives reassigned benefits from 63 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elizabeth, NJ; Plainfield, NJ

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Neighborhood Health Services Corporation

Locations

1700 Myrtle Ave
#58
Plainfield, NJ 07063
Phone (908) 753-6401

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1235179045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700-58 MYRTH AVENUE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "07860",
            "telephone_number": "908-753-6401",
            "fax_number": "908-226-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 SPRING STREET",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "07860",
            "telephone_number": "973-383-7001",
            "fax_number": "973-383-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTH SERVICES CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEIGHBORHOOD HEALTH SERVICES CORPORATION",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VICE PRESIDENT & COO",
        "authorized_official_telephone_number": "908-753-6401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NJ",
            "license": "23445",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06505500",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA5775700",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA04375900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011680",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Health Center - Newton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.