City Hill CDC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CITY HILL CDC

Practice address

703 S 12TH St
Newark, NJ 07103-1733

Phone

(973) 820-3986

NPI assigned

Apr 20, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Demetrice D Canty

Title

Ceo/Executive Director

Phone

(973) 820-3986

Specialties & licenses 2

Addresses

Other names 1

• Strive 4 Doing business as

Locations

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1982139556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HILL ST",
            "address_2": "#22A",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071025601",
            "telephone_number": "973-820-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S 12TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071031733",
            "telephone_number": "973-820-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY HILL CDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "CANTY",
        "authorized_official_first_name": "DEMETRICE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-820-3986",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strive 4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Tien Yen Chyn, M.D.
• Donald S. Ciccone, PHD
• Frank Ciminello, MD
• Gabrielle Ciraco
• Citihealth RX Inc
• City Medical of New Jersey, PC
• City of Newark
• City of Newark
• City of Newark
• City of Newark

• All providers in Newark, NJ
• Developmentally Disabled Services Day Training Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.