Organization Active NPI

Steam 4 Urbn Youth, Inc.

  • Community Health Worker
  • Newark, NJ
National Provider Identifier
1922729375
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
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

Updated by the provider on Mar 13, 2025

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)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.