Jermaul Williams
Community Health Worker in Newark, New Jersey
1104631043- Practice location
- 25 Clifton Ave Apt D1413, Newark, NJ 07104-1848
- Phone
- 908-357-4596
- Fax
- 908-357-4596
- Last updated
- February 10, 2025
Jermaul Williams is a Community Health Worker based in Newark, NJ. Jermaul Williams practices in Newark, NJ. The NPI Number for Jermaul Williams is 1104631043. The current practice location address for Jermaul Williams is 25 Clifton Ave Apt D1413, Newark, NJ 07104-1848 and can be reached out via phone at 908-357-4596 and via fax at 908-357-4596.
Provider Profile Details
- NPI Number
- 1104631043
- Provider Name
- Jermaul Williams
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 25 Clifton Ave Apt D1413, Newark, NJ 07104-1848
- Phone Number
- 908-357-4596
- Fax Number
- 908-357-4596
- Primary Taxonomy
- Community Health Worker · 172V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 10, 2025
- Last Update Date
- February 10, 2025
- Certification Date
- February 9, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Clifton Ave Apt D1413
Newark, NJ 07104-1848 - City
- Newark
- State
- New Jersey
- Zip
- 07104-1848
- Phone Number
- 908-357-4596
- Fax Number
- 908-357-4596
Provider Business Mailing Address Details
- Address
- 25 Clifton Ave Apt D1413
Newark, NJ 07104-1848 - City
- Newark
- State
- NJ
- Zip
- 07104-1848
- Phone Number
- 908-357-4596
- Fax Number
- 908-357-4596
License Information
- Taxonomy
- Community Health Worker · 172V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jermaul Williams?
The NPI number of Jermaul Williams is 1104631043. It was assigned on February 10, 2025 and is currently active in the NPPES registry.
What is the specialty of Jermaul Williams?
Jermaul Williams is registered under the primary taxonomy Community Health Worker (code 172V00000X).
Where does Jermaul Williams practice?
The practice location is 25 Clifton Ave Apt D1413, Newark, NJ 07104-1848. The office can be reached at 908-357-4596 (phone) or 908-357-4596 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104631043 directly on the NPPES registry website.