Ironbound Community Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IRONBOUND COMMUNITY CORPORATION

Practice address

179 Van Buren St
Newark, NJ 07105-2601

Phone

(973) 589-3353

Fax

(973) 589-3637

NPI assigned

May 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Della Fave

Title

Executive Director

Phone

(973) 589-3353

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Berta Rodrigues, LCSW

  • Clinical Social Worker
  • Butler, NJ
  • NPI 1639389943
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740491893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 VAN BUREN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052601",
            "telephone_number": "973-589-3353",
            "fax_number": "973-589-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 VAN BUREN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052601",
            "telephone_number": "973-589-3353",
            "fax_number": "973-589-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONBOUND COMMUNITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELLA FAVE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-589-3353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062278",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ipsn Pharmacy LLC (Medamor Pharmacy Dept.)
• Iqbal Ahmad, MD LLC
• Shamim Iqbal, M.D.
• Anitha Irakam, MD
• Iron Bound Ambulance Squad, Inc.
• Ironbound Community Health Center Inc (Hope & Esperanza Community Health Center)
• Ironbound Community Health Center Inc (Hope and Esperanza Community Health Center)
• Ironbound Dental Specialists
• Ironbound Endo Surgical Center, Inc.
• Ironbound Family Medicine LLC

• Community/Behavioral Health Agency in Newark, NJ
• Providers in Newark, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.