OrganizationActive
City of Newark
NPI 1699514943 · Federally Qualified Health Center (FQHC) · Newark, NJ
Provider details
- NPI number
- 1699514943
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ketlen Alsbrook, Director & Ceo(973) 733-5310
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
350 Washington Street
Newark, NJ 07102
Phone: (800) 734-7083
Fax: (973) 353-8438
Approximate (ZIP-level) locationGet directions
Mailing address
110 William St
Newark, NJ 07102-1304
Other names (DBA / former)
- Doing business as
- Newark Dept of Health/Mary Eliza Mahoney Hlth Ctr Mobile Unit #3
Registry dates
- Enumerated
- 2024-05-24
- Last updated
- 2024-05-24
- Certified
- 2024-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.