OrganizationActive
City of Newark
NPI 1548678303 · Federally Qualified Health Center (FQHC) · Newark, NJ
Provider details
- NPI number
- 1548678303
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Oluyinka Fadahunsi, Financial Operations Officer(973) 733-7558
- License
- 24148 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs 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
110 William St
Newark, NJ 07102-1304
Phone: (973) 877-6111
Fax: (973) 733-4328
Street-level locationGet directions
Mailing address
36 Victoria St
Newark, NJ 07114-1414
Other names (DBA / former)
- Doing business as
- Newark Department of Health and Community Wellness - Mobile Van Unit
Registry dates
- Enumerated
- 2014-07-24
- Last updated
- 2017-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.