Equip Health Medical NJ PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EQUIP HEALTH MEDICAL NJ PC

Practice address

511 S Orange Ave # 2089
Newark, NJ 07103-1342

Phone

(619) 350-6290

NPI assigned

Apr 5, 2021

Organization subpart

No

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

Authorized official

Name

Caitlyn Defiore

Title

Director Client Strategy & Operatio

Phone

(508) 340-1419

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1356920797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131747",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920131747",
            "telephone_number": "619-350-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 S ORANGE AVE # 2089",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071031342",
            "telephone_number": "619-350-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUIP HEALTH MEDICAL NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "DEFIORE",
        "authorized_official_first_name": "CAITLYN",
        "authorized_official_title_or_position": "DIRECTOR CLIENT STRATEGY & OPERATIO",
        "authorized_official_telephone_number": "508-340-1419"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "api.equipbehavioralhealth.com/api",
            "affiliation": "N",
            "address_1": "511 S Orange Ave # 2089",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071031342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emee M. Enriquez, APN
• Julian Entrada, MD
• Celestina Enuma
• Epic Pharmacy
• Mayra K Episcopo
• Fareeda Eraky
• Sandra Elena Erazo Posada
• Migdalia Erazo, RN,APN
• Aybala Erek Toprak
• Mavis Camalita Ermakov, R.D., RN., CDE., APN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Newark, NJ
• Providers in Newark, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.