Active NPIOrganization

City Of Newark

Clinic/Center, Federally Qualified Health Center (FQHC) in Newark, New Jersey

NPI Number1104647635
Practice location
394 University Ave, Newark, NJ 07102-1221
Fax
—
Last updated
September 9, 2025

City Of Newark is a healthcare organization based in Newark, NJ. City Of Newark practices in Newark, NJ. The NPI Number for City Of Newark is 1104647635. The current practice location address for City Of Newark is 394 University Ave, Newark, NJ 07102-1221 and can be reached out via phone at 800-734-7083.

Provider Profile Details

NPI Number
1104647635
Provider Name
City Of Newark
Provider Entity Type
Organization
Address
394 University Ave, Newark, NJ 07102-1221
Phone Number
800-734-7083
Organization Subpart
No
Authorized Official
Ketlen Alsbrook · Ceo & Director · 973-733-5310
Other Names
Newark Dept Of Health And Community Wellness Dental Mobile Unit (Doing Business As)
Provider Enumeration Date
October 17, 2024
Last Update Date
September 9, 2025
Certification Date
September 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
394 University Ave
Newark, NJ 07102-1221
City
Newark
Zip
07102-1221
Phone Number
800-734-7083
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
110 William St
Newark, NJ 07102-1304
City
Newark
State
NJ
Zip
07102-1304
Phone Number
973-424-4271
Fax Number
973-353-8438

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
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 City Of Newark?

The NPI number of City Of Newark is 1104647635. It was assigned on October 17, 2024 and is currently active in the NPPES registry.

What is the specialty of City Of Newark?

City Of Newark is registered under the primary taxonomy Clinic/Center, Federally Qualified Health Center (FQHC) (code 261QF0400X).

Where does City Of Newark practice?

The practice location is 394 University Ave, Newark, NJ 07102-1221. The office can be reached at 800-734-7083 (phone).

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 1104647635 directly on the NPPES registry website.

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