Active NPI
Carevantage Healthcare LLC
- Community/Behavioral Health Agency
- Newark, NJ
National Provider Identifier
1609773670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CAREVANTAGE HEALTHCARE LLC
- Practice address
- 19 Lyons Ave
Newark, NJ 07112-2420 - Phone
- (646) 529-1200
- NPI assigned
- Oct 22, 2026
- Last updated
- Oct 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Suliat Ashaolu Adesunbo
- Title
- Owner
- Phone
- (646) 529-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
19 Lyons Ave
Newark, NJ 07112-2420
Mailing address
19 Lyons Ave
Newark, NJ 07112-2420
Phone (646) 529-1200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792627200000",
"number": "1609773670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 LYONS AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122420",
"telephone_number": "646-529-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 LYONS AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122420",
"telephone_number": "646-529-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREVANTAGE HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-22",
"last_updated": "2026-10-22",
"certification_date": "2026-10-22",
"status": "A",
"authorized_official_last_name": "ASHAOLU ADESUNBO",
"authorized_official_first_name": "SULIAT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-529-1200",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"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 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.