Organization Active NPI

R-Health Primary Care Medical Home LLC

  • Primary Care Clinic/Center
  • West Orange, NJ
National Provider Identifier
1952863490
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2165931R-Health West Orange405 Northfield Avenue, West Orange, NJ 07052Certificate of waiverMay 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
R-Health Primary Care Medical Home LLC3 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.