Community Healthcare Initiative Program, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07308500 Issued in NJ

Legal business name

COMMUNITY HEALTHCARE INITIATIVE PROGRAM, PC

Practice address

570 Park Ave
East Orange, NJ 07017-1904

Phone

(973) 672-8573

Fax

(973) 675-0040

NPI assigned

Aug 29, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Alexander G Salerno, M.D.

Title

President

Phone

(973) 672-2455

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1447650130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 PARK AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171905",
            "telephone_number": "973-672-2455",
            "fax_number": "973-675-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 PARK AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171904",
            "telephone_number": "973-672-8573",
            "fax_number": "973-675-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTHCARE INITIATIVE PROGRAM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "SALERNO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-672-2455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07308500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Ellen Coley-Lima, APN
• Colin Oke
• Colleen'S Birth & Lactation Support
• Amanda Nicole Collins
• Community Advocates LLC
• Community Psychiatric Institute
• Community Psychiatric Institute
• Community Psychiatric Intitute
• Compassionate Counseling Services
• Complete Care at East Orange LLC

• Internal Medicine Physician in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.