Organization Active NPI

Kavod Healthcare System LLC

  • Case Management Agency
  • Newark, NJ
National Provider Identifier
1659101103
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
KAVOD HEALTHCARE SYSTEM LLC
Practice address
438 S 17TH St
Newark, NJ 07103-1236
Phone
(862) 872-0828
NPI assigned
Aug 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Mrs. Titilope AbimbolaNPI 1437908639
Title
MD/Ceo
Phone
(862) 872-0828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

438 S 17TH St
Newark, NJ 07103-1236

Mailing address

438 S 17TH St
Newark, NJ 07103-1236
Phone (862) 872-0828

Other names 1

  • Kavod Healthcare System LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1659101103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 S 17TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071031236",
            "telephone_number": "862-872-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 S 17TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071031236",
            "telephone_number": "862-872-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVOD HEALTHCARE SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "ABIMBOLA",
        "authorized_official_first_name": "TITILOPE",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "862-872-0828",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kavod Healthcare System LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 7, 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.

Verify at the official NPI Registry.