Active NPI
Mt. Carmel Guild Engle Center
- Community/Behavioral Health Agency
- Newark, NJ
National Provider Identifier
1386710747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MT. CARMEL GUILD ENGLE CENTER
- Practice address
- 1160 Raymond Blvd
Newark, NJ 07102-4168 - Phone
- (976) 596-4100
- NPI assigned
- Nov 28, 2006
- Last updated
- Aug 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anita Holland
- Title
- Vice President
- Phone
- (973) 596-4100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
1160 Raymond Blvd
Newark, NJ 07102-4168
Mailing address
1160 Raymond Blvd
Newark, NJ 07102-4168
Phone (976) 596-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7711603 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218758400000",
"number": "1386710747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 RAYMOND BLVD",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071024168",
"telephone_number": "976-596-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 RAYMOND BLVD",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071024168",
"telephone_number": "976-596-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MT. CARMEL GUILD ENGLE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2008-08-15",
"status": "A",
"authorized_official_last_name": "HOLLAND",
"authorized_official_first_name": "ANITA",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "973-596-4100"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7711603",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.