NPIMap

Organization Active NPI

Zufall Health Center, Inc

Doing business as Zufall Health Plainsboro

  • Federally Qualified Health Center (FQHC)
  • Plainsboro, NJ
National Provider Identifier
1306428388
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ZUFALL HEALTH CENTER, INC
Doing business as
Zufall Health Plainsboro
Practice address
1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Phone
(609) 853-7600
Fax
(609) 853-7601
NPI assigned
Apr 28, 2021
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 Primary

Addresses

Primary practice location

1 Plainsboro Rd
Plainsboro, NJ 08536-1913

Mailing address

18 W Blackwell St
Dover, NJ 07801-3841
Phone (973) 328-3344

Other names 1

  • Zufall Health Plainsboro Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210908003060 NJ Part A Provider - Federally Qualified Health Center (FQHC) 2365448461 Practice locations: Plainsboro, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306428388. Details of each certification follow.

Federally qualified health center certification: CCN 311948

Legal name
ZUFALL HEALTH CENTER, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 3, 2021
Last certification
Sep 3, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 1, 1991 in NJ
Enrollment address
1 Plainsboro Rd
Plainsboro, NJ 85361913

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
31D2226445Zufall Health Center1 Plainsboro Road, Plainsboro, NJ 08536Certificate of waiverMay 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dover Free Clinic Inc16 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

18 W Blackwell St
Ste 1
Dover, NJ 07801

Ownership & related parties

All disclosed owners & managing parties 8

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 OfficerCoo Jan 1, 2014
Frances Palm Individual Corporate OfficerCoo Jan 1, 2014
Eva Turbiner Individual Corporate OfficerCeo Oct 1, 2006
Maria Angarita Individual Corporate OfficerBoard Member Jun 1, 2012
Donald Costanzo Individual Corporate OfficerBoard Member May 1, 2005
Imogene E Anderson Individual W-2 Managing EmployeeSVP Controller Jun 18, 2018
Amy Day Weber Individual W-2 Managing EmployeeBilling Director Jan 3, 2006
Brian Whang Individual Corporate OfficerCio Jun 1, 2006

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1306428388",
    "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": "973-328-3344",
            "fax_number": "973-328-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PLAINSBORO RD",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361913",
            "telephone_number": "609-853-7600",
            "fax_number": "609-853-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUFALL HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zufall Health Plainsboro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zufall Health Plainsboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainsboro, NJ

Sources for this page

Verify at the official NPI Registry.