NPIMap

Organization Active NPI

City of Newark

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
National Provider Identifier
1720539620
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CITY OF NEWARK
Practice address
110 William St
Newark, NJ 07102-1304
Phone
(973) 733-7558
Fax
(973) 733-5492
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Mr. Oluyinka Fadahunsi
Title
Fiscal Officer
Phone
(973) 733-5558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NJ Primary

Addresses

Primary practice location

110 William St
Newark, NJ 07102-1304

Mailing address

276-300 Clinton Avenue
Newark, NJ 07108
Phone (973) 733-7558

Other names 1

  • Newark Department of Health & Community Wellness- Women's Health Ctr Doing business as

National Provider Directory

National Provider Directory
Tax ID family
City of Newark Dept of Child and Family Well Being Mobile Medical Van14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1720539620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276-300 CLINTON AVENUE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07108",
            "telephone_number": "973-733-7558",
            "fax_number": "973-733-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WILLIAM ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021304",
            "telephone_number": "973-733-7558",
            "fax_number": "973-733-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEWARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "FADAHUNSI",
        "authorized_official_first_name": "OLUYINKA",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "973-733-5558",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newark Department of Health & Community Wellness- Women's Health Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 17, 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.