OrganizationActive
Community Health and Immunization Services
NPI 1215340310 · Community Health Worker · Englewood, NJ
Provider details
- NPI number
- 1215340310
- Entity type
- Organization
- Primary specialty
- Community Health WorkerOther Service Providers
- Organization subpart
- No
- Authorized official
- Rebekah Suazo, Medical Billing Supervisor(480) 646-9099
- License
- 25MB05677400 (NJ)
Specialties & taxonomies
Other Service Providers
Practice location
401a S Van Brunt St
Suite 202b
Englewood, NJ 07631-4600
Phone: (201) 603-9996
Approximate (ZIP-level) locationGet directions
Mailing address
668 N 44th St Ste 100w
Phoenix, AZ 85008-6507
Registry dates
- Enumerated
- 2014-06-05
- Last updated
- 2021-10-08
- Certified
- 2021-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.