NPIMap

Organization Active NPI

North Hudson Community Action Corporation

  • Federally Qualified Health Center (FQHC)
  • Englewood, NJ
National Provider Identifier
1902167463
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NORTH HUDSON COMMUNITY ACTION CORPORATION
Practice address
197 Van Brunt St
Englewood, NJ 07631-4010
Phone
(201) 537-4442
NPI assigned
May 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Mr. Christopher F Irizarry
Title
President/Ceo
Phone
(201) 866-2388

Specialties & licenses 1

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

Addresses

Primary practice location

197 Van Brunt St
Englewood, NJ 07631-4010

Mailing address

800 31St St
Union City, NJ 07087-2428
Phone (201) 210-0200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121119000017 NJ Part A Provider - Federally Qualified Health Center (FQHC) 6103887997 Practice locations: Englewood, NJ

Federally qualified health center certification: CCN 311901

Legal name
NORTH HUDSON COMMUNITY ACTION CORPORATION
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 19, 2012
Last certification
Nov 19, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
197 S Van Brunt St
Englewood, NJ 76314010
Related CCNs
311829

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory
Tax ID family
North Hudson Community Action Corporation14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

800 31st St
Union City, NJ 07087
Phone (201) 201-0100

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Pura Cabrera Individual Corporate DirectorBoard Member May 21, 2012
Juana Malave Individual Corporate DirectorBoard Member May 20, 2012
Joseph Muniz Individual Corporate DirectorBoard Member May 21, 2012
Maria Vila Individual Corporate DirectorBoard Member May 21, 2012
Michael Shababb Individual W-2 Managing EmployeeCfo Jul 1, 1994
Joan Quigley Individual W-2 Managing EmployeeCeo Jul 1, 2013
Carol Pietz Individual Corporate DirectorBoard Member May 19, 2015
Joan Woods Individual Corporate DirectorBoard Member May 21, 2016
Silverio Vega Individual Corporate DirectorBoard Member May 21, 2012
Kim Nicoliello Individual Corporate DirectorBoard Member May 21, 2012
Christina McLellan Individual Corporate DirectorBoard Member May 21, 2012
Erika Zucconi Individual Corporate DirectorBoard Member May 21, 2012
Mariano Pellegrino Individual Corporate DirectorBoard Member May 21, 2012
Marisol Acosta Individual Corporate DirectorBoard Member May 21, 2012
Carla Deschamps Individual Corporate DirectorBoard Member Oct 18, 2016
John Gerbasio Individual Corporate DirectorBoard Member Feb 20, 2018
Adnelis Albizo Individual Corporate DirectorBoard Member Mar 20, 2018
Robert Divincent Individual Corporate DirectorBoard Member May 21, 2012
Victor Grullon Individual Corporate DirectorBoard Member May 21, 2012
Wayne Cook Individual Corporate DirectorBoard Member May 21, 2012
Hilda R Roque Dieguez Individual Corporate DirectorBoard Member May 21, 2012
Linda Habermann Individual Corporate DirectorBoard Member May 21, 2012
Kennedy NG Individual Corporate DirectorBoard Member Mar 20, 2018

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Hudson Community Action CorporationHarrison, NJ, CCN 311931 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2016
Feb 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1902167463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 31ST ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872428",
            "telephone_number": "201-210-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 VAN BRUNT ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314010",
            "telephone_number": "201-537-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HUDSON COMMUNITY ACTION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "201-866-2388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.