Organization Active NPI

Prudential Financial Health & Wellness

  • Occupational Medicine Clinic/Center
  • Newark, NJ
National Provider Identifier
1972715548
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
PRUDENTIAL FINANCIAL HEALTH & WELLNESS
Practice address
213 Washington St
NJ-02-02-02
Newark, NJ 07102-2917
Phone
(973) 802-6393
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. K. Andrew Crighton, M.D.
Title
Chief Medical Officer
Phone
(973) 802-9670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

213 Washington St
NJ-02-02-02
Newark, NJ 07102-2917

Mailing address

213 Washington St
NJ-02-02-02
Newark, NJ 07102-2917
Phone (973) 802-6393

National Provider Directory

National Provider Directory
Tax ID family
Prpvident Life and Acci2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

213 Washington St
#20202
Newark, NJ 07102
Phone (973) 802-6393

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972715548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 WASHINGTON ST",
            "address_2": "NJ-02-02-02",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022917",
            "telephone_number": "973-802-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 WASHINGTON ST",
            "address_2": "NJ-02-02-02",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022917",
            "telephone_number": "973-802-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENTIAL FINANCIAL HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRIGHTON",
        "authorized_official_first_name": "K. ANDREW",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "973-802-9670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.