NPIMap

Organization Active NPI

Healthworkspro LLC

  • Primary Care Clinic/Center
  • East Orange, NJ
National Provider Identifier
1588220552
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HEALTHWORKSPRO LLC
Practice address
85 N 14TH St
East Orange, NJ 07017-5112
Phone
(973) 571-9090
Fax
(973) 556-1194
NPI assigned
May 15, 2019
Last updated
Jan 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Dr. Ronald Croix Coppage, PHD
Title
President
Phone
(973) 571-9090

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Adult Medicine Physician 207QA0505X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

85 N 14TH St
East Orange, NJ 07017-5112

Mailing address

85 N 14TH St
East Orange, NJ 07017-5112
Phone (973) 571-9090

Other names 1

  • HWP Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231211002246 NJ Part B Supplier - Clinic/Group Practice 2769831155 Receives reassigned benefits from 6 practitioners
Practice locations: Fairfield, NJ

National Provider Directory

National Provider Directory

Locations

23 Madison Rd
Fairfield, NJ 07004
Phone (417) 932-2732

23 Madison Rd
Ste A
Fairfield, NJ 07004

23 Madison Rd
Ste B
Fairfield, NJ 07004
Phone (570) 369-7310

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1588220552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 N 14TH ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070175112",
            "telephone_number": "973-571-9090",
            "fax_number": "973-556-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 N 14TH ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070175112",
            "telephone_number": "973-571-9090",
            "fax_number": "973-556-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWORKSPRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "COPPAGE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "CROIX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-571-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HWP",
            "code": "5",
            "type": "Other 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 Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.