Active NPI
Saint James Health, Inc
- Federally Qualified Health Center (FQHC)
- Newark, NJ
National Provider Identifier
1609657659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- SAINT JAMES HEALTH, INC
- Practice address
- 69 Pulaski Street
Newark, NJ 07105 - Phone
- (973) 789-8111
- NPI assigned
- Oct 6, 2023
- Organization subpart
- Yes
- Parent organization
- SAINT JAMES HEALTH, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Marie Fields
- Title
- Ceo
- Phone
- (908) 578-7273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
69 Pulaski Street
Newark, NJ 07105
Mailing address
PO Box 5489
Newark, NJ 07105-0489
Phone (973) 789-8111
National Provider Directory
National Provider Directory- Tax ID family
- Saint James Health Inc
- Part of
- Saint James Health Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1538724554
-
- Health Service Clinic/Center
- Newark, NJ
- NPI 1568960896
-
- Community/Retail Pharmacy
- Newark, NJ
- NPI 1528416286
-
- Community/Behavioral Health Agency
- Newark, NJ
- NPI 1780068668
-
- Family Medicine Physician
- Newark, NJ
- NPI 1942946736
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Newark, NJ
- NPI 1154159630
-
- Family Nurse Practitioner
- Elizabeth, NJ
- NPI 1790437572
-
- Nurse Practitioner
- Hackensack, NJ
- NPI 1770238750
-
- Physician Assistant
- Newark, NJ
- NPI 1851076368
-
- Family Nurse Practitioner
- Newark, NJ
- NPI 1962777938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729728000000",
"number": "1609657659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5489",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071050489",
"telephone_number": "973-789-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 PULASKI STREET",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07105",
"telephone_number": "973-789-8111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT JAMES HEALTH, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAINT JAMES HEALTH, INC",
"enumeration_date": "2023-10-06",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A",
"authorized_official_last_name": "FIELDS",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "908-578-7273"
},
"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 Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.