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City of Newark — NPI 1972206258, Newark, NJ | NPI Central

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NPI 1972206258

OrganizationActive

City of Newark

NPI 1972206258 · Federally Qualified Health Center (FQHC) · Newark, NJ

Provider details

NPI number: 1972206258
Entity type: Organization
Primary specialty: Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Organization subpart: No
Authorized official: Ketlen Alsbrook, Ceo & Director(973) 733-5310

Specialties & taxonomies

Federally Qualified Health Center (FQHC)Primary261QF0400X
Ambulatory Health Care Facilities

Practice location

701 South Orange Avenue

Newark, NJ 07106-2209

Phone: (800) 734-7083

Approximate (ZIP-level) locationGet directions

More NJ providers

Mailing address

110 William St

Newark, NJ 07102-1304

Other names (DBA / former)

Doing business as: Newark Department of Health and Community Wellness/Mary Eliza Mahoney

Registry dates

Enumerated: 2023-03-24
Last updated: 2024-04-18
Certified: 2023-04-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.