Active NPIOrganization

Weequahic Park Sports Authority

Non-emergency Medical Transport (VAN) in Newark, New Jersey

NPI Number1417808411
Practice location
92 Thomas Carmichael Drive, Newark, NJ 07114
Fax
973-877-9772
Last updated
February 5, 2026

Weequahic Park Sports Authority is a healthcare organization based in Newark, NJ. Weequahic Park Sports Authority practices in Newark, NJ. The NPI Number for Weequahic Park Sports Authority is 1417808411. The current practice location address for Weequahic Park Sports Authority is 92 Thomas Carmichael Drive, Newark, NJ 07114 and can be reached out via phone at 973-877-9772 and via fax at 973-877-9772.

Provider Profile Details

NPI Number
1417808411
Provider Name
Weequahic Park Sports Authority
Provider Entity Type
Organization
Address
92 Thomas Carmichael Drive, Newark, NJ 07114
Phone Number
973-877-9772
Fax Number
973-877-9772
Primary Taxonomy
Non-emergency Medical Transport (VAN) · 343900000X
Organization Subpart
No
Authorized Official
Douglas Freeman · President · 973-877-9772
Provider Enumeration Date
February 5, 2026
Last Update Date
February 5, 2026
Certification Date
February 2, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
92 Thomas Carmichael Drive
Newark, NJ 07114
City
Newark
Zip
07114
Phone Number
973-877-9772
Fax Number
973-877-9772
Newark, NJ 07114Get directions →

Provider Business Mailing Address Details

Address
Po Box 4252
Newark, NJ 07112-0252
City
Newark
State
NJ
Zip
07112-0252
Phone Number
973-877-9772
Fax Number
973-877-9772

License Information

Taxonomy (1)
Community/Behavioral Health · 251S00000X
Taxonomy (2)
Home Delivered Meals · 332U00000X
Taxonomy (3)
Non-emergency Medical Transport (VAN) · 343900000X · Primary

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 Weequahic Park Sports Authority?

The NPI number of Weequahic Park Sports Authority is 1417808411. It was assigned on February 5, 2026 and is currently active in the NPPES registry.

What is the specialty of Weequahic Park Sports Authority?

Weequahic Park Sports Authority is registered under the primary taxonomy Non-emergency Medical Transport (VAN) (code 343900000X).

Where does Weequahic Park Sports Authority practice?

The practice location is 92 Thomas Carmichael Drive, Newark, NJ 07114. The office can be reached at 973-877-9772 (phone) or 973-877-9772 (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 1417808411 directly on the NPPES registry website.

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