Covenant House New Jersey, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COVENANT HOUSE NEW JERSEY, INC.

Practice address

330 Washington St
Newark, NJ 07102-2630

Phone

(973) 286-3547

Fax

(973) 286-0190

NPI assigned

Jan 7, 2009

Organization subpart

No

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

Authorized official

Name

Meghan Leigh

Title

Senior Director

Phone

(973) 286-3419

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Covenant House NJ - AC Doing business as

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1669619052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022630",
            "telephone_number": "973-286-3419",
            "fax_number": "973-286-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022630",
            "telephone_number": "973-286-3547",
            "fax_number": "973-286-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOUSE NEW JERSEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2025-09-02",
        "certification_date": "2025-03-30",
        "status": "A",
        "authorized_official_last_name": "LEIGH",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "973-286-3419"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161624",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant House NJ - AC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Lee Cottle, CRNA
• Lorenzo Robert Cotugno
• Tricia Coulanges, FNP-BC
• Christopher Counts, M.D.
• Taylor Grace Coutts
• Ethan Adrian Cowan, M.D.
• Olivia Elizabeth Cox, LPC
• Alexa Joan Cozzarelli, BSN, RN, CV-BC
• Bernadette Marion Cracchiolo, M.D.
• Stephanie T Craig

• Case Management Agency in Newark, NJ
• Providers in Newark, NJ by specialty
• Case Management Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.