Active NPI
Steam 4 Urbn Youth, Inc.
- Community Health Worker
- Newark, NJ
National Provider Identifier
1922729375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- STEAM 4 URBN YOUTH, INC.
- Practice address
- 800 Broad St # 323
Newark, NJ 07102-2760 - Phone
- (678) 651-9778
- NPI assigned
- Sep 5, 2022
- 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
- Fallon Davis, M.ED
- Title
- Ceo/Founder
- Phone
- (678) 651-9778
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary | ||
| Specialist | 174400000X | |||
| Health Educator | 174H00000X | |||
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Doula | 374J00000X |
Addresses
Primary practice location
800 Broad St # 323
Newark, NJ 07102-2760
Mailing address
8 Lombardy St # 176
Newark, NJ 07102-3210
Phone (678) 651-9778
Other practice location 1
368 Broad St Apt 202
Newark, NJ 07104-3869
Phone (678) 651-9778
Other names 1
- STEAM URBAN
National Provider Directory
National Provider DirectoryLocations
8 Lombardy St
Newark, NJ 07102
Phone (347) 201-1530
800 Broad St
#323
Newark, NJ 07102
Phone (678) 651-9778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741824000000",
"number": "1922729375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 LOMBARDY ST # 176",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071023210",
"telephone_number": "678-651-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BROAD ST # 323",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071022760",
"telephone_number": "678-651-9778"
}
],
"practiceLocations": [
{
"address_1": "368 Broad St Apt 202",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071043869",
"country_code": "US",
"telephone_number": "678-651-9778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "STEAM 4 URBN YOUTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-05",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "FALLON",
"authorized_official_title_or_position": "CEO/FOUNDER",
"authorized_official_telephone_number": "678-651-9778",
"authorized_official_credential": "M.ED"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "STEAM URBAN",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "STEAM URBAN",
"code": "3",
"type": "Doing Business As"
}
]
}
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 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.