Organization Active NPI

Northwest Essex Community Healthcare

  • Community/Behavioral Health Agency
  • Belleville, NJ
National Provider Identifier
1942749429
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
30202 Issued in NJ
Legal business name
NORTHWEST ESSEX COMMUNITY HEALTHCARE
Practice address
570 Belleville Ave
Belleville, NJ 07109-1308
Phone
(973) 450-3100
NPI assigned
Feb 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Vionia Hageman
Title
Office Manager
Phone
(973) 450-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 30202 NJ Primary

Addresses

Primary practice location

570 Belleville Ave
Belleville, NJ 07109-1308

Mailing address

570 Belleville Avenue
Belleville, NJ 07109

Other identifiers 1

IdentifierTypeStateIssuer
0008702MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Northwest Essex Community Healthcare Network Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

570 Belleville Ave
Fl 4
Belleville, NJ 07109
Phone (973) 450-3100

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": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1942749429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 BELLEVILLE AVENUE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "07109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 BELLEVILLE AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091308",
            "telephone_number": "973-450-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ESSEX COMMUNITY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "HAGEMAN",
        "authorized_official_first_name": "VIONIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-450-3100"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "30202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.