Center for African American Health Disparities Education & Research

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CENTER FOR AFRICAN AMERICAN HEALTH DISPARITIES EDUCATION & RESEARCH

Practice address

125 N Hartford Ave
Suite 7
Atlantic City, NJ 08401-3547

Phone

(609) 802-8476

NPI assigned

Dec 4, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Warren, PHD, CCPNPI 1497138705

Title

Executive Director

Phone

(609) 802-8476

Specialties & licenses 5

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Warren

  • Prevention Professional
  • Atlantic City, NJ
  • NPI 1497138705

  Research Study

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610150400000",
    "number": "1952906190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N HARTFORD AVE",
            "address_2": "SUITE 7",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084013547",
            "telephone_number": "609-802-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N HARTFORD AVE",
            "address_2": "SUITE 7",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084013547",
            "telephone_number": "609-802-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR AFRICAN AMERICAN HEALTH DISPARITIES EDUCATION & RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-802-8476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, CCP"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744R1102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.caahder.org",
            "affiliation": "Y",
            "endpointDescription": "Encrypted client health information system",
            "affiliationName": "Center for African American Health Disparities Education & Research",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "125 N Hartford Ave",
            "address_2": "Suite 7",
            "city": "Atlantic City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "084013547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennyfer Castro, RN
• Giselle Cavali Da Costa Raitz, MD
• Ceas Pharmacy Inc (Parkway Pharmacy)
• Lisa Celebre
• Center City Family Practice, Inc
• Jessica Cestare
• Steven H Chang, RPH
• Sacha Florestal Charles, D.O.
• Hassan Imtiaz Chattha, MD
• Shuo Chen, PHARMD

• Health Service Clinic/Center in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.