NPIMap

Organization Active NPI

North Hudson Community Action Corporation

  • Federally Qualified Health Center (FQHC)
  • Union City, NJ
National Provider Identifier
1548626005
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NORTH HUDSON COMMUNITY ACTION CORPORATION
Practice address
800 31St St
Union City, NJ 07087-2428
Phone
(201) 210-0200
NPI assigned
Jan 13, 2016
Last updated
Oct 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Mrs. Joan M Quigley
Title
President/Ceo
Phone
(201) 583-6822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

800 31St St
Union City, NJ 07087-2428

Mailing address

326 Harrison Ave
Harrison, NJ 07029-1752
Phone (862) 229-1160

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161031001692 NJ Part A Provider - Federally Qualified Health Center (FQHC) 6103887997 Practice locations: Harrison, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548626005. Details of each certification follow.

Federally qualified health center certification: CCN 311931

Legal name
NORTH HUDSON COMMUNITY ACTION CORPORATION
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 31, 2016
Last certification
Oct 31, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
326 Harrison Ave
Harrison, NJ 70293059

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory
Tax ID family
North Hudson Community Action Corphealth Center14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

55 Meadowlands Pkwy
Fl 2
Secaucus, NJ 07094
Phone (201) 240-6522

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Pura Cabrera Individual Corporate DirectorBoard Member Feb 1, 2016
Juana Malave Individual Corporate DirectorBoard Member Feb 1, 2016
Joseph Muniz Individual Corporate DirectorBoard Member Feb 1, 2016
Maria Vila Individual Corporate DirectorBoard Member Feb 1, 2016
Michael Shababb Individual Corporate OfficerChief Financial Officer Feb 1, 2016
W-2 Managing EmployeeCfo Feb 1, 2016
Joan Quigley Individual Corporate OfficerChief Executive Officer Feb 1, 2016
Joan Woods Individual Corporate DirectorBoard Member Feb 1, 2016
Silverio Vega Individual Corporate DirectorBoard Member Feb 1, 2016
Kim Nicoliello Individual Corporate DirectorBoard Member Feb 1, 2016
Christina McLellan Individual Corporate DirectorBoard Member Feb 1, 2016
Erika Zucconi Individual Corporate DirectorBoard Member Feb 1, 2016
Mariano Pellegrino Individual Corporate DirectorBoard Member Feb 1, 2016
Marisol Acosta Individual Corporate DirectorBoard Member Feb 1, 2016
Robert Divincent Individual Corporate DirectorBoard Member Feb 1, 2016
Lisa Snedeker Individual Corporate DirectorBoard Member Feb 1, 2016
North Hudson Community Action Corporation Organization, Union City, NJ Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 2016 100%
Operational/Managerial Control Feb 1, 2016 100%
Victor Grullon Individual Corporate DirectorBoard Member Feb 1, 2016
Wayne Cook Individual Corporate DirectorBoard Member Feb 1, 2016
Hilda R Roque Dieguez Individual Corporate DirectorBoard Member Feb 1, 2016
Linda Habermann Individual Corporate DirectorBoard Member Feb 1, 2016
Ulysses Isa Individual Corporate DirectorBoard Member Feb 1, 2016
Rosemary Roque Individual Corporate DirectorBoard Member Feb 1, 2016

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1548626005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 HARRISON AVE",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070291752",
            "telephone_number": "862-229-1160",
            "fax_number": "862-772-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 31ST ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872428",
            "telephone_number": "201-210-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HUDSON COMMUNITY ACTION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "QUIGLEY",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "201-583-6822",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "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 Union City, NJ

Sources for this page

Verify at the official NPI Registry.