NPIMap

Organization Active NPI

Tri-City Peoples Corporation

  • Clinic/Center
  • East Orange, NJ
National Provider Identifier
1558576314
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
25MA04859100 Issued in NJ
Legal business name
TRI-CITY PEOPLES CORPORATION
Practice address
55 Washington Street
East Orange, NJ 07017-1433
Phone
(973) 676-5506
Fax
(973) 676-5516
NPI assigned
May 14, 2007
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Ms. Toni L Caldwell
Title
Executive Director/Ceo
Phone
(973) 676-5506

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 25MA04859100 NJ
Clinic/Center 261Q00000X 25MA04859100 NJ Primary

Addresses

Primary practice location

55 Washington Street
East Orange, NJ 07017-1433

Mailing address

55 Washington Street
East Orange, NJ 07017-1433
Phone (973) 676-5506

Other identifiers 2

IdentifierTypeStateIssuer
7442602MedicaidNJ
0018643MedicaidNJ

Other names 1

  • Tri-City Peoples Corporation Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1558576314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WASHINGTON STREET",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171433",
            "telephone_number": "973-676-5506",
            "fax_number": "973-676-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WASHINGTON STREET",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171433",
            "telephone_number": "973-676-5506",
            "fax_number": "973-676-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY PEOPLES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "973-676-5506",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "25MA04859100",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA04859100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7442602",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018643",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-City Peoples Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.