Active NPI
City of Newark
Doing business as Newark Dept of Hlth & Comm Wellness-Dental Mary Eliza Mahoney Hlth Ctr
- Federally Qualified Health Center (FQHC)
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 7082
- Legal business name
- CITY OF NEWARK
- Doing business as
- Newark Dept of Hlth & Comm Wellness-Dental Mary Eliza Mahoney Hlth Ctr
- Practice address
- 110 William St
Newark, NJ 07102-1304 - Phone
- (973) 733-7558
- Fax
- (973) 733-4328
- NPI assigned
- Jan 8, 2016
- Last updated
- Jan 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Oluyinka Fadahunsi
- Title
- Financial Operations Officer
- Phone
- (973) 733-7558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 7082 | NJ | Primary |
Addresses
Primary practice location
110 William St
Newark, NJ 07102-1304
Mailing address
110 William St
Newark, NJ 07102-1304
Phone (973) 733-7558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0034002 | Medicaid | NJ |
Other names 1
- Newark Dept of Hlth & Comm Wellness-Dental Mary Eliza Mahoney Hlth Ctr
National Provider Directory
National Provider Directory- Tax ID family
- City of Newark Dept of Child and Family Well Being Mobile Medical Van
Other organizations with this tax ID 13
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Newark Dept of Health and Community Wellness Dental Mobile Unit
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1104647635
-
dba Newark Dept of Health/Mary Eliza Mahoney Hlth Ctr Mobile Unit #1
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1174362420
-
dba Newark Department of Health and Community Welllness
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1295958908
-
dba Newark Department of Health and Community Wellness
- Community Health Clinic/Center
- Newark, NJ
- NPI 1356561278
-
dba Newark Department of Health and Community Wellness
- Community Health Clinic/Center
- Newark, NJ
- NPI 1376976704
-
dba City of Newark/Dept of Health
- Public Health or Welfare Agency
- Newark, NJ
- NPI 1427467034
-
dba Newark Dept of Health & Community Wellness- BC
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1477914612
-
dba Newark Department of Health and Community Wellness - Mobile Van Unit
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1548678303
-
dba Newark Dept of Health/Mary Eliza Mahoney Hlth Ctr Mobile Unit #3
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1699514943
-
dba Newark Department of Health & Community Wellness- Women's Health Ctr
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1720539620
-
dba Newark Department of Health/Mary Eliza Mahoney Hlth Ctr Mobile Unit #2
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1942059506
-
dba Newark Department of Health and Community Wellness/Mary Eliza Mahoney
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1972206258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453680000000",
"number": "1851757645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 WILLIAM ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071021304",
"telephone_number": "973-733-7558",
"fax_number": "973-733-4328"
},
{
"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": "973-733-4328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF NEWARK",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-08",
"last_updated": "2016-01-25",
"status": "A",
"authorized_official_last_name": "FADAHUNSI",
"authorized_official_first_name": "OLUYINKA",
"authorized_official_title_or_position": "FINANCIAL OPERATIONS OFFICER",
"authorized_official_telephone_number": "973-733-7558",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NJ",
"license": "7082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0034002",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Newark Dept of Hlth & Comm Wellness-Dental Mary Eliza Mahoney Hlth Ctr",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Newark, NJ
- City of Newark (City of Newark/Dept of Health)
- City of Newark (Newark Dept of Health & Community Wellness- BC)
- City of Newark (Newark Department of Health and Community Wellness - Mobile Van Unit)
- City of Newark (Newark Dept of Health/Mary Eliza Mahoney Hlth Ctr Mobile Unit #3)
- City of Newark (Newark Department of Health & Community Wellness- Women's Health Ctr)
- City of Newark (Newark Department of Health/Mary Eliza Mahoney Hlth Ctr Mobile Unit #2)
- City of Newark (Newark Department of Health and Community Wellness/Mary Eliza Mahoney)
- City of Newark Dept of Child and Family Well Being Mobile Medical Van
- Citylife Clinics NJ, PC
- CJM Medical Transportation Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.