Organization Active NPI

Wellcare Health Plans of New Jersey, Inc.

  • Case Management Agency
  • Newark, NJ
National Provider Identifier
1982020582
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
WELLCARE HEALTH PLANS OF NEW JERSEY, INC.
Practice address
550 Broad St
12TH Floor
Newark, NJ 07102-4531
Phone
(973) 274-2100
NPI assigned
Mar 7, 2014
Organization subpart
Yes
Parent organization
THE WELLCARE MANAGEMENT GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Michael Haber
Title
VP & Secretary
Phone
(813) 206-1490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

550 Broad St
12TH Floor
Newark, NJ 07102-4531

Mailing address

550 Broad St
12TH Floor
Newark, NJ 07102-4531
Phone (973) 274-2100

National Provider Directory

National Provider Directory
Tax ID family
Wellcare Health Plans of New Jersey Inc2 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

550 Broad St
Fl 12
Newark, NJ 07102
Phone (973) 274-2100

NPI Registry JSON

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1982020582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 BROAD ST",
            "address_2": "12TH FLOOR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024531",
            "telephone_number": "973-274-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 BROAD ST",
            "address_2": "12TH FLOOR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024531",
            "telephone_number": "973-274-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE HEALTH PLANS OF NEW JERSEY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE WELLCARE MANAGEMENT GROUP, INC.",
        "enumeration_date": "2014-03-07",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "813-206-1490"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "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 Apr 20, 2016; 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.