OrganizationActive
City of Newark
NPI 1720539620 · Federally Qualified Health Center (FQHC) · Newark, NJ
Provider details
- NPI number
- 1720539620
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Authorized official
- Oluyinka Fadahunsi, Fiscal Officer
Practice location
110 William St
Newark, NJ 07102-1304
Phone: (973) 733-7558
Fax: (973) 733-5492
Mailing address
276-300 Clinton Avenue
Newark, NJ 07108
Registry dates
- Enumerated
- 2016-10-17
- Last updated
- 2016-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.