NPIMap

Organization Active NPI

Zufall Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Newton, NJ
National Provider Identifier
1235593435
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
24780 Issued in NJ
Legal business name
ZUFALL HEALTH CENTER, INC
Practice address
238 Spring St
A
Newton, NJ 07860-2115
Phone
(973) 862-6665
Fax
(943) 862-6655
NPI assigned
Apr 13, 2016
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Imogene Anderson
Title
Cfo
Phone
(973) 328-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 24780 NJ Primary

Addresses

Primary practice location

238 Spring St
A
Newton, NJ 07860-2115

Mailing address

18 W Blackwell St
Dover, NJ 07801-3841
Phone (973) 328-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160823003010 NJ Part A Provider - Federally Qualified Health Center (FQHC) 2365448461 Practice locations: Newton, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235593435. Details of each certification follow.

Federally qualified health center certification: CCN 311928

Legal name
ZUFALL HEALTH CENTER, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 26, 2016
Last certification
Aug 26, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 3, 1991 in NJ
Enrollment address
238 Spring St
Newton, NJ 78602115

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2133817Zufall Health Center238 Spring Street, Newton, NJ 07860Certificate of waiverOct 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Zufall Health Centerinc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

238 Spring St
#A
Newton, NJ 07860
Phone (973) 862-6650

238 Spring St
Ste A
Newton, NJ 07860
Phone (973) 862-6650

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rina Ramirez-Alexander Individual Corporate OfficerCmo Jul 1, 2007
Raksha D Tripathi Individual Corporate OfficerCfo Feb 17, 2016
Frances Palm Individual Corporate OfficerCoo Jan 1, 2014
Eva Turbiner Individual Corporate OfficerPresident/Ceo Nov 1, 2006
William F Shuler Individual Corporate DirectorBoard Chair Jun 14, 2006
Irma M MC Kenna Individual Corporate DirectorBoard Member Jun 14, 2006
Imogene E Anderson Individual W-2 Managing EmployeeSVP Controller Oct 1, 2024
Amy Day Weber Individual Corporate DirectorBilling Director Jan 7, 2006
W-2 Managing EmployeeBilling Director Mar 29, 2016
Linda L Seeley Individual Corporate DirectorBoard Member Jun 14, 2006

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1235593435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078013841",
            "telephone_number": "973-328-9100",
            "fax_number": "973-328-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 SPRING ST",
            "address_2": "A",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602115",
            "telephone_number": "973-862-6665",
            "fax_number": "943-862-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUFALL HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "IMOGENE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "973-328-9100"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NJ",
            "license": "24780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.