James White Manor

LBN: Newark Community Health Centers,Inc.
James White Manor is an health care organization with primary practice located at 516 Bergen St , Newark NJ 07108-1639. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Newark Community Health Centers,Inc. can be contacted via phone (973) 648-0866, or through Velez, Peter R. via phone (973) 483-1300.

Contact Information

Primary practice address
516 Bergen St Newark NJ 07108-1639
Phone: (973) 648-0866
Fax: (973) 648-0078
Website:
Map and Directions
Authorized official contact:
Name: Velez, Peter R.
Phone: (973) 483-1300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 22238 New Jersey

Profile Details

NPI number 1619148160
LBN Legal business name Newark Community Health Centers,Inc.
DBA Doing business as James White Manor
Authorized official Velez, Peter R.
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 12th, 2008
Last updated May 16th, 2008 - about 16 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 1619148160 NPPES
New Jersey MEDICAID 0055701

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