NPIMap

Organization Active NPI

Zufall Health Dental Van

  • Federally Qualified Health Center (FQHC)
  • Dover, NJ
National Provider Identifier
1437604022
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 DENTAL VAN
Practice address
17 S Warren St
Dover, NJ 07801-4506
Phone
(973) 328-3344
NPI assigned
Aug 24, 2016
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ZUFALL HEALTH CENTER, INCAs reported in NPPES

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 NU Primary

Addresses

Primary practice location

17 S Warren St
Dover, NJ 07801-4506

Mailing address

18 W Blackwell St
Dover, NJ 07801-3841
Phone (973) 328-9100

National Provider Directory

National Provider Directory
Tax ID family
Zufall Health Center Inc16 organizations share this tax ID, including this one
Part of
Zufall Health Center Inc

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1437604022",
    "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": "973-328-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S WARREN ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078014506",
            "telephone_number": "973-328-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUFALL HEALTH DENTAL VAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZUFALL HEALTH CENTER, INC",
        "enumeration_date": "2016-08-24",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.