Organization Active NPI

Mt. Carmel Guild Engle Center

  • Community/Behavioral Health Agency
  • Newark, NJ
National Provider Identifier
1386710747
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7711603MedicaidNJ

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.