Organization Active NPI

Brick City Health Center

  • Clinic/Center
  • Newark, NJ
National Provider Identifier
1578862934
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
25MA05498100 Issued in NJ
Legal business name
BRICK CITY HEALTH CENTER
Practice address
195 Central Ave
Newark, NJ 07103-3921
Phone
(973) 732-6060
Fax
(973) 732-6066
NPI assigned
Mar 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Dr. Surinder Sodhi, MD
Title
President
Phone
(973) 732-6060

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 25MA05498100 NJ Primary
Clinic/Center 261Q00000X 25MA07075900 NJ
Clinic/Center 261Q00000X 25MA08785600 NJ

Addresses

Primary practice location

195 Central Ave
Newark, NJ 07103-3921

Mailing address

195 Central Ave
Newark, NJ 07103-3921
Phone (973) 732-6060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1578862934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 CENTRAL AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033921",
            "telephone_number": "973-732-6060",
            "fax_number": "973-732-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 CENTRAL AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033921",
            "telephone_number": "973-732-6060",
            "fax_number": "973-732-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRICK CITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "SODHI",
        "authorized_official_first_name": "SURINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-732-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA05498100",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA07075900",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA08785600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.