NPIMap

Organization Active NPI

Zufall Health Center,Inc

  • Federally Qualified Health Center (FQHC)
  • Morristown, NJ
National Provider Identifier
1841527355
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
24343 Issued in NJ
Legal business name
ZUFALL HEALTH CENTER,INC
Practice address
4 Atno Ave
Morristown, NJ 07960-3802
Phone
(973) 267-0002
Fax
(973) 267-7928
NPI assigned
Nov 5, 2009
Last updated
Dec 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Peter Bebel
Title
Cfo
Phone
(973) 328-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 24343 NJ Primary

Addresses

Primary practice location

4 Atno Ave
Morristown, NJ 07960-3802

Mailing address

4 Atno Ave
Morristown, NJ 07960-3802
Phone (973) 267-0002

Other identifiers 1

IdentifierTypeStateIssuer
0217417MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100212000189 NJ Part A Provider - Federally Qualified Health Center (FQHC) 2365448461 Practice locations: Morristown, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841527355. Details of each certification follow.

Federally qualified health center certification: CCN 311891

Legal name
ZUFALL HEALTH CENTER, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 12, 2010
Last certification
Feb 12, 2010
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 7, 1991 in NJ
Enrollment address
4 Atno Avenue
Morristown, NJ 79603802

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1104403Zufall Health Center Morristown4 Atno Avenue, Morristown, NJ 07960Certificate of waiverOct 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Zufall Health Center Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

4 Atno Ave
Morristown, NJ 07960
Phone (973) 267-0002

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rina Ramirez-Alexander Individual Corporate OfficerCmo (Chief Medical Officer) Nov 6, 2006
Frances Palm Individual Corporate OfficerPresident/Ceo Feb 1, 2023
Maria Angarita Individual Corporate DirectorBoard Member May 23, 2012
Donald Costanzo Individual Corporate DirectorBoard Member Nov 6, 2006
William F Shuler Individual Corporate DirectorBoard Member Nov 6, 2006
Irma M MC Kenna Individual Corporate DirectorBoard Member Nov 6, 2006
Imogene E Anderson Individual W-2 Managing EmployeeSVP Controller Oct 1, 2024
Amy Day Weber Individual W-2 Managing EmployeeBilling Director Jun 15, 2009
Linda L Seeley Individual Corporate DirectorBoard Member Nov 6, 2006

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1841527355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ATNO AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079603802",
            "telephone_number": "973-267-0002",
            "fax_number": "973-267-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ATNO AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079603802",
            "telephone_number": "973-267-0002",
            "fax_number": "973-267-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUFALL HEALTH CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "BEBEL",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "973-328-9100"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NJ",
            "license": "24343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217417",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.