NPIMap

Organization Active NPI

Comunidad Unida Para Rehabilitacion de Adictos

  • Substance Abuse Rehabilitation Facility
  • Newark, NJ
National Provider Identifier
1942481189
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
25MA03441900 Issued in NJ
Legal business name
COMUNIDAD UNIDA PARA REHABILITACION DE ADICTOS
Practice address
73 Lincoln Park
Newark, NJ 07102-2303
Phone
(973) 622-3570
Fax
(973) 622-1780
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Mrs. Gloria Plaza
Title
President&Ceo
Phone
(973) 622-3570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 25MA03441900 NJ Primary

Addresses

Primary practice location

73 Lincoln Park
Newark, NJ 07102-2303

Mailing address

35 Lincoln Park
Newark, NJ 07102-2390
Phone (973) 622-3570

Other identifiers 3

IdentifierTypeStateIssuer
0988308-01MedicaidNJ
D96709OtherNJMEDICAID UPIN
7606001MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Comunidad Unida Para10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

73 Lincoln Park
Newark, NJ 07102
Phone (973) 622-2010

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1942481189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LINCOLN PARK",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022390",
            "telephone_number": "973-622-3570",
            "fax_number": "973-622-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 LINCOLN PARK",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022303",
            "telephone_number": "973-622-3570",
            "fax_number": "973-622-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMUNIDAD UNIDA PARA REHABILITACION DE ADICTOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "PLAZA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PRESIDENT&CEO",
        "authorized_official_telephone_number": "973-622-3570",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "25MA03441900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0988308-01",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID UPIN",
            "identifier": "D96709",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7606001",
            "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 Jun 5, 2012; 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.