Ironbound Community Corporation

LBN: Ironbound Community Corporation
Ironbound Community Corporation is an health care organization with primary practice located at 179 Van Buren St , Newark NJ 07105-2601. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Ironbound Community Corporation can be contacted via phone (973) 589-3353, or through Della Fave, Joseph via phone (973) 589-3353.

Contact Information

Primary practice address
179 Van Buren St Newark NJ 07105-2601
Phone: (973) 589-3353
Fax: (973) 589-3637
Website:
Map and Directions
Authorized official contact:
Name: Della Fave, Joseph
Phone: (973) 589-3353

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1740491893
LBN Legal business name Ironbound Community Corporation
DBA Doing business as
Authorized official Della Fave, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740491893 NPPES
New Jersey MEDICAID 0062278

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