Organization Active NPI

Carevantage Healthcare LLC

  • Home Health Agency
  • Newark, NJ
National Provider Identifier
1770499691
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAREVANTAGE HEALTHCARE LLC
Practice address
19 Lyons Ave
Newark, NJ 07112-2420
Phone
(646) 529-1200
Fax
(862) 682-6582
NPI assigned
Aug 20, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Suliat Ashaolu Adesunbo
Title
Ower
Phone
(646) 529-1200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X NU
Home Health Agency 251E00000X NU Primary
Clinical Medical Laboratory 291U00000X NU

Addresses

Primary practice location

19 Lyons Ave
Newark, NJ 07112-2420

Mailing address

19 Lyons Ave
Newark, NJ 07112-2420
Phone (646) 529-1200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1770499691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122420",
            "telephone_number": "646-529-1200",
            "fax_number": "862-682-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122420",
            "telephone_number": "646-529-1200",
            "fax_number": "862-682-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREVANTAGE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "ASHAOLU ADESUNBO",
        "authorized_official_first_name": "SULIAT",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "646-529-1200"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 1, 2026; 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.