OrganizationActive
Youth Development Clinic of Newark
NPI 1235937269 · Community/Behavioral Health Agency · Newark, NJ
Youth Development Clinic of Newark is a Community/Behavioral Health Agency organization in Newark, NJ (NPI 1235937269).
Provider details
- NPI number
- 1235937269
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Youth Development Clinic of Newark
- Organization subpart
- Yes
- Authorized official
- Mark Kitzie, Executive Director(973) 494-5801
Specialties & taxonomies
Agencies
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 Broad St Fl 3
Newark, NJ 07102-3112
Phone: (973) 623-5080
Street-level locationGet directions
Mailing address
500 Broad St Fl 3
Newark, NJ 07102-3112
Other names (DBA / former)
- Other name
- Iic Services
Registry dates
- Enumerated
- 2025-03-05
- Last updated
- 2025-03-05
- Certified
- 2025-03-04
Frequently asked questions
- What is Youth Development Clinic of Newark's NPI number?
- Youth Development Clinic of Newark's National Provider Identifier (NPI) is 1235937269, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Youth Development Clinic of Newark?
- Youth Development Clinic of Newark is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Youth Development Clinic of Newark located?
- Youth Development Clinic of Newark's practice location on file with NPPES is 500 Broad St Fl 3, Newark, NJ 07102-3112.
- What is Youth Development Clinic of Newark's phone number?
- The practice phone number listed in the NPPES registry for Youth Development Clinic of Newark is (973) 623-5080.
- Who is the authorized official for Youth Development Clinic of Newark?
- The authorized official listed on Youth Development Clinic of Newark's NPPES record is Mark Kitzie, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Youth Development Clinic of Newark's NPI active?
- Yes — Youth Development Clinic of Newark's NPI (1235937269) is active in the NPPES registry as of the last update on 2025-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.