Organization Active NPI

Wellcare Health Plans of New Jersey, Inc.

  • Health Maintenance Organization
  • Newark, NJ
National Provider Identifier
1679730014
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
WELLCARE HEALTH PLANS OF NEW JERSEY, INC.
Practice address
550 Broad Street
Suite 1200
Newark, NJ 07102
Phone
(973) 274-2100
NPI assigned
May 22, 2008
Last updated
May 5, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
WELLCARE HEALTH PLANS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Authorized official

Name
Michael Haber
Title
VP & Secretary
Phone
(813) 206-1490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NJ Primary

Addresses

Primary practice location

550 Broad Street
Suite 1200
Newark, NJ 07102

Mailing address

8735 Henderson Rd
Tampa, FL 33634-1143
Phone (813) 290-6200

National Provider Directory

National Provider Directory
Tax ID family
Wellcare Health Plans of New Jersey Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

550 Broad St
Ste 1200
Newark, NJ 07102
Phone (973) 274-2100

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1679730014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8735 HENDERSON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341143",
            "telephone_number": "813-290-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 BROAD STREET",
            "address_2": "SUITE 1200",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07102",
            "telephone_number": "973-274-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE HEALTH PLANS OF NEW JERSEY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLCARE HEALTH PLANS, INC.",
        "enumeration_date": "2008-05-22",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "813-206-1490"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NJ",
            "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 May 5, 2016; 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.