NPIMap

Organization Active NPI

Henry J Austin Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Trenton, NJ
National Provider Identifier
1477980845
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HENRY J AUSTIN HEALTH CENTER, INC.
Practice address
433 Bellevue Ave
4TH Floor
Trenton, NJ 08618
Phone
(609) 278-5900
Fax
(609) 695-3532
NPI assigned
Oct 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Charles L Davis
Title
Ceo
Phone
(609) 278-5970

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NJ
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

433 Bellevue Ave
4TH Floor
Trenton, NJ 08618

Mailing address

321 N Warren St
Trenton, NJ 08618-4741
Phone (609) 278-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141010000131 NJ Part A Provider - Federally Qualified Health Center (FQHC) 9739179409 Practice locations: Trenton, NJ

Federally qualified health center certification: CCN 311914

Legal name
HENRY J AUSTIN HEALTH CENTER, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 10, 2014
Last certification
Oct 10, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 1, 1986 in NJ
Enrollment address
433 Bellevue Avenue
4TH Floor
Trenton, NJ 86184514
Related CCNs
311801

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Henry Jaustin Health Center at All Access Mental Health13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Merkle Cherry Individual W-2 Managing EmployeeAd; Feb 20, 2018
Operational/Managerial ControlChief Operating Officer Feb 20, 2019
Nancy Perez Individual W-2 Managing EmployeeProvider Enrollment & Credentialing Dec 22, 2014
Beverly a Smith Individual Corporate DirectorBoard Member Chair Person Feb 18, 2014
Nora Brown Individual Corporate Director Jun 7, 2022
W-2 Managing EmployeeDirector of Patient Access Jun 7, 2022
Charles Ellis Individual OtherVice Chairman Jan 2, 2024
Lakeisha Cooper Individual W-2 Managing EmployeeDirector of Nursing Jul 31, 2020
Charles L Davis Individual Corporate OfficerChief Executive Officer May 6, 2024
W-2 Managing EmployeeChief Executive Officer May 6, 2024

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1477980845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N WARREN ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184741",
            "telephone_number": "609-278-5900",
            "fax_number": "609-695-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 BELLEVUE AVE",
            "address_2": "4TH FLOOR",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08618",
            "telephone_number": "609-278-5900",
            "fax_number": "609-695-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY J AUSTIN HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-278-5970"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.