Organization Active NPI

Hopewell Medical Adult Day Care

  • Adult Day Care Clinic/Center
  • Newark, NJ
National Provider Identifier
1922139328
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
9069801 Issued in NJ
Legal business name
HOPEWELL MEDICAL ADULT DAY CARE
Practice address
290 Chestnut St
Newark, NJ 07105-1559
Phone
(973) 817-8500
Fax
(973) 817-8509
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Mary Williams Cudjoe, CALA
Title
Ceo Administrator
Phone
(973) 817-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 9069801 NJ Primary

Addresses

Primary practice location

290 Chestnut St
Newark, NJ 07105-1559

Mailing address

290 Chestnut St
Newark, NJ 07105-1559
Phone (973) 817-8500

Other identifiers 1

IdentifierTypeStateIssuer
9069801MedicaidNJ

National Provider Directory

National Provider Directory

Locations

290 Chestnut St
Newark, NJ 07105
Phone (973) 545-6767

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922139328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CHESTNUT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051559",
            "telephone_number": "973-817-8500",
            "fax_number": "973-817-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CHESTNUT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051559",
            "telephone_number": "973-817-8500",
            "fax_number": "973-817-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEWELL MEDICAL ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUDJOE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "CEO  ADMINISTRATOR",
        "authorized_official_telephone_number": "973-817-8500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CALA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "9069801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9069801",
            "state": "NJ"
        }
    ],
    "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 Aug 22, 2020; 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.