Active NPI
R-Health Primary Care Medical Home LLC
- Primary Care Clinic/Center
- West Orange, NJ
National Provider Identifier
1952863490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- R-HEALTH PRIMARY CARE MEDICAL HOME LLC
- Practice address
- 405 Northfield Ave
West Orange, NJ 07052-3026 - Phone
- (215) 600-4590
- NPI assigned
- Apr 3, 2019
- Organization subpart
- Yes
- Parent organization
- R-HEALTH PRIMARY CARE MEDICAL HOME LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Meisinger
- Title
- Chief Clinical Operations Officer
- Phone
- (215) 600-4593
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
405 Northfield Ave
West Orange, NJ 07052-3026
Mailing address
210 Yorktown PLZ
Elkins Park, PA 19027-1424
Phone (215) 600-4590
Other names 1
- R-Health West Orange
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2165931 | R-Health West Orange | Certificate of waiver | May 7, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- R-Health Primary Care Medical Home LLC
- Part of
- R-Health Primary Care Medical Home LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Camden, NJ
- NPI 1316580632
-
- Primary Care Clinic/Center
- Ewing, NJ
- NPI 1770034191
Locations
405 Northfield Ave
West Orange, NJ 07052
Phone (215) 600-4590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554249600000",
"number": "1952863490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 YORKTOWN PLZ",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271424",
"telephone_number": "215-600-4590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 NORTHFIELD AVE",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070523026",
"telephone_number": "215-600-4590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R-HEALTH PRIMARY CARE MEDICAL HOME LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "R-HEALTH PRIMARY CARE MEDICAL HOME LLC",
"enumeration_date": "2019-04-03",
"last_updated": "2019-04-03",
"status": "A",
"authorized_official_last_name": "MEISINGER",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "CHIEF CLINICAL OPERATIONS OFFICER",
"authorized_official_telephone_number": "215-600-4593"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "R-Health West Orange",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.