Active NPI
Gospal Cathedral Baptist Church
- Non-emergency Medical Transport (VAN)
- Newark, NJ
National Provider Identifier
1871441600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- GOSPAL CATHEDRAL BAPTIST CHURCH
- Practice address
- 300 S 12TH St
Newark, NJ 07103-1960 - Phone
- (973) 622-4934
- NPI assigned
- Mar 18, 2026
- 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
- Stefan Durr
- Title
- Ceo
- Phone
- (973) 900-0668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
300 S 12TH St
Newark, NJ 07103-1960
Mailing address
300 S 12TH St
Newark, NJ 07103-1960
Phone (973) 622-4934
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1871441600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S 12TH ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071031960",
"telephone_number": "973-622-4934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S 12TH ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071031960",
"telephone_number": "973-622-4934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOSPAL CATHEDRAL BAPTIST CHURCH",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-18",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "DURR",
"authorized_official_first_name": "STEFAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "973-900-0668"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"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 Mar 18, 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.