OrganizationActive
City of Newark
NPI 1104647635 · Federally Qualified Health Center (FQHC) · Newark, NJ
Provider details
- NPI number
- 1104647635
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Authorized official
- Ketlen Alsbrook, Ceo & Director
Mailing address
110 William St
Newark, NJ 07102-1304
Registry dates
- Enumerated
- 2024-10-17
- Last updated
- 2025-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.