City of Newark

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

70782 Issued in NJ

Legal business name

CITY OF NEWARK

Doing business as

Newark Department of Health and Community Wellness

Practice address

140 Bergen Street
Newark, NJ 07103

Phone

(973) 733-7600

NPI assigned

Aug 30, 2013

Last updated

Jan 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Oluyinka Fadahunsi, MBA

Title

Financial Operations Officer

Phone

(973) 733-7558

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Newark Department of Health and Community Wellness Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1336573906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WILLIAM ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021304",
            "telephone_number": "973-733-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BERGEN STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "973-733-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEWARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "FADAHUNSI",
        "authorized_official_first_name": "OLUYINKA",
        "authorized_official_title_or_position": "FINANCIAL OPERATIONS OFFICER",
        "authorized_official_telephone_number": "973-733-7558",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NJ",
            "license": "70782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0403563",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newark Department of Health and Community Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City Hill CDC (Strive 4)
• City Medical of New Jersey, PC (CityMD Urgent Care)
• City of Newark (Newark Dept of Health and Community Wellness Dental Mobile Unit)
• City of Newark (Newark Dept of Health/Mary Eliza Mahoney Hlth Ctr Mobile Unit #1)
• City of Newark (Newark Department of Health and Community Welllness)
• City of Newark (Newark Department of Health and Community Wellness)
• City of Newark (Newark Department of Health and Community Wellness)
• City of Newark (City of Newark/Dept of Health)
• City of Newark (Newark Dept of Health & Community Wellness- BC)
• City of Newark (Newark Department of Health and Community Wellness - Mobile Van Unit)

• Federally Qualified Health Center (FQHC) in Newark, NJ
• Providers in Newark, NJ by specialty
• Federally Qualified Health Center (FQHC) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.