Community Healthcare Initiative Program, PC
Internal Medicine in East Orange, New Jersey
1447650130- Practice location
- 570 Park Ave, East Orange, NJ 07017-1904
- Phone
- 973-672-8573
- Fax
- 973-675-0040
- Last updated
- August 29, 2014
Community Healthcare Initiative Program, PC is a healthcare organization based in East Orange, NJ. Community Healthcare Initiative Program, PC practices in East Orange, NJ. The NPI Number for Community Healthcare Initiative Program, PC is 1447650130 and holds a License No. 25MA07308500 (NJ). The current practice location address for Community Healthcare Initiative Program, PC is 570 Park Ave, East Orange, NJ 07017-1904 and can be reached out via phone at 973-672-8573 and via fax at 973-675-0040.
Provider Profile Details
- NPI Number
- 1447650130
- Provider Name
- Community Healthcare Initiative Program, PC
- Provider Entity Type
- Organization
- Address
- 570 Park Ave, East Orange, NJ 07017-1904
- Phone Number
- 973-672-8573
- Fax Number
- 973-675-0040
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Alexander G Salerno, MD · President · 973-672-2455
- Provider Enumeration Date
- August 29, 2014
- Last Update Date
- August 29, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 570 Park Ave
East Orange, NJ 07017-1904 - City
- East Orange
- State
- New Jersey
- Zip
- 07017-1904
- Phone Number
- 973-672-8573
- Fax Number
- 973-675-0040
Provider Business Mailing Address Details
- Address
- 613 Park Ave
East Orange, NJ 07017-1905 - City
- East Orange
- State
- NJ
- Zip
- 07017-1905
- Phone Number
- 973-672-2455
- Fax Number
- 973-675-0040
License Information
- License Number
- 25MA07308500
- License State
- NJ
- Taxonomy
- Internal Medicine · 207R00000X · 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 Community Healthcare Initiative Program, PC?
The NPI number of Community Healthcare Initiative Program, PC is 1447650130. It was assigned on August 29, 2014 and is currently active in the NPPES registry.
What is the specialty of Community Healthcare Initiative Program, PC?
Community Healthcare Initiative Program, PC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA07308500.
Where does Community Healthcare Initiative Program, PC practice?
The practice location is 570 Park Ave, East Orange, NJ 07017-1904. The office can be reached at 973-672-8573 (phone) or 973-675-0040 (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 1447650130 directly on the NPPES registry website.