Free Vaccine for All Community Health Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

FREE VACCINE FOR ALL COMMUNITY HEALTH CLINIC

Practice address

613 Courtyard Dr
Hillsborough, NJ 08844-4256

Phone

(908) 240-8285

NPI assigned

Dec 1, 2020

Organization subpart

No

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

Authorized official

Name

Li JiangNPI 1841448974

Title

President

Phone

(908) 240-8285

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Li Jiang

  • Pediatrics Physician
  • Hillsborough, NJ
  • NPI 1841448974
  NPD Authorized official

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1598360273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 COURTYARD DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444256",
            "telephone_number": "908-240-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 COURTYARD DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444256",
            "telephone_number": "908-240-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE VACCINE FOR ALL COMMUNITY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "JIANG",
        "authorized_official_first_name": "LI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-240-8285"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elinor L Fortner, RN
• Brianna Fowls, MD
• Michael Fragoso, M.D.
• David Neal Frankel, RPH
• Micki Frazier, LCSW
• Freedom Emergency Medical Services LLC.
• Jessica Freund
• Debbie A. Friedman, MA, CCC
• Ronnie Frances Funke, NP-C
• Navika Gadhok, L.S.W.

• Health Service Clinic/Center in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.