Youth Development Clinic Of Newark
Community/Behavioral Health in Newark, New Jersey
1316239643- Practice location
- 500 Broad St, 3RD Floor, Suite 1, Newark, NJ 07102-3112
- Phone
- 973-623-5080
- Fax
- —
- Last updated
- May 4, 2011
Youth Development Clinic Of Newark is a healthcare organization based in Newark, NJ. Youth Development Clinic Of Newark practices in Newark, NJ. The NPI Number for Youth Development Clinic Of Newark is 1316239643. The current practice location address for Youth Development Clinic Of Newark is 500 Broad St, 3RD Floor, Suite 1, Newark, NJ 07102-3112 and can be reached out via phone at 973-623-5080.
Provider Profile Details
- NPI Number
- 1316239643
- Provider Name
- Youth Development Clinic Of Newark
- Provider Entity Type
- Organization
- Address
- 500 Broad St, 3RD Floor, Suite 1, Newark, NJ 07102-3112
- Phone Number
- 973-623-5080
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Patricia Connors, MD · Ceo · 973-623-5080
- Provider Enumeration Date
- May 4, 2011
- Last Update Date
- May 4, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 Broad St
3RD Floor, Suite 1
Newark, NJ 07102-3112 - City
- Newark
- State
- New Jersey
- Zip
- 07102-3112
- Phone Number
- 973-623-5080
Provider Business Mailing Address Details
- Address
- 500 Broad Street
3RD Floor, Suite 1
Newark, NJ 07102 - City
- Newark
- State
- NJ
- Zip
- 07102
- Phone Number
- 973-623-5080
License Information
- License State
- NJ
- Taxonomy
- Community/Behavioral Health · 251S00000X · 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 Youth Development Clinic Of Newark?
The NPI number of Youth Development Clinic Of Newark is 1316239643. It was assigned on May 4, 2011 and is currently active in the NPPES registry.
What is the specialty of Youth Development Clinic Of Newark?
Youth Development Clinic Of Newark is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Youth Development Clinic Of Newark practice?
The practice location is 500 Broad St, 3RD Floor, Suite 1, Newark, NJ 07102-3112. The office can be reached at 973-623-5080 (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 1316239643 directly on the NPPES registry website.