The Prudential Insurance Company of America

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Legal business name

THE PRUDENTIAL INSURANCE COMPANY OF AMERICA

Practice address

213 Washington St
Newark, NJ 07102-2917

Phone

(973) 802-2552

Fax

(973) 802-2276

NPI assigned

Aug 19, 2015

Organization subpart

Yes

Parent organization

THE PRUDENTIAL INSURANCE OF AMERICAAs reported in NPPES

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

Authorized official

Name

Dr. Kent Andrew Crighton, MDNPI 1093764748

Title

Chief Medical Officer

Phone

(973) 802-9670

Specialties & licenses 1

Addresses

Other names 1

• Prudential Health & Wellness Doing business as

Tax ID family

Prpvident Life and Acci2 organizations share this tax ID, including this one

Part of

Prpvident Life and Acci

Other organizations with this tax ID 1

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

• Prudential Financial Health & Wellness

  • Occupational Medicine Clinic/Center
  • Newark, NJ
  • NPI 1972715548
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kent Andrew Crighton, M.D.

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1093764748
  NPD (past) Authorized official
• Myrtho Montes, MD

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1023069168
  NPD (past)

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1821464397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 WASHINGTON ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022917",
            "telephone_number": "973-802-2552",
            "fax_number": "973-802-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 WASHINGTON ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022917",
            "telephone_number": "973-802-2552",
            "fax_number": "973-802-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PRUDENTIAL INSURANCE COMPANY OF AMERICA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PRUDENTIAL INSURANCE OF AMERICA",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "CRIGHTON",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "973-802-9670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prudential Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• The Restoration Center Inc.
• The Rose Center LLC
• The Shine Project Inc.
• The Starter House Community Living Center

• Corporate Health Clinic/Center in Newark, NJ
• Providers in Newark, NJ by specialty
• Corporate Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.