Active NPI
Neighborhood Health Services Corporation
Doing business as Neighborhood Health Center - Newton
- Federally Qualified Health Center (FQHC)
- Newton, NJ
National Provider Identifier
1235179045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 23445
- 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, 2015
- Organization subpart
- Yes
- Parent organization
- NEIGHBORHOOD HEALTH SERVICES CORPORATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011680 | Medicaid | NJ |
Other names 1
- Neighborhood Health Center - Newton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba Neighborhood Health Center - Phillipsburg
- Federally Qualified Health Center (FQHC)
- Phillipsburg, NJ
- NPI 1003850488
O20110713000253
-
dba Neighborhood Health Center - Plainfield
- Federally Qualified Health Center (FQHC)
- Plainfield, NJ
- NPI 1316981707
O20110713000253
-
dba Neighborhood Health Center - Elizabeth
- Federally Qualified Health Center (FQHC)
- Elizabeth, NJ
- NPI 1538383666
O20110713000253
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.