North Jersey Community Research Initiative
Clinic/Center, Mental Health (Including Community Mental Health Center) in Newark, New Jersey
1568951168- Practice location
- 393 Central Ave, Newark, NJ 07103-2842
- Phone
- 973-483-3444
- Fax
- —
- Last updated
- May 5, 2025
North Jersey Community Research Initiative is a healthcare organization based in Newark, NJ. North Jersey Community Research Initiative practices in Newark, NJ. The NPI Number for North Jersey Community Research Initiative is 1568951168 and holds a License No. 101430204 (NJ). The current practice location address for North Jersey Community Research Initiative is 393 Central Ave, Newark, NJ 07103-2842 and can be reached out via phone at 973-483-3444.
Provider Profile Details
- NPI Number
- 1568951168
- Provider Name
- North Jersey Community Research Initiative
- Provider Entity Type
- Organization
- Address
- 393 Central Ave, Newark, NJ 07103-2842
- Phone Number
- 973-483-3444
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Corey Lyn Destefano · Clinical Director · 973-483-3444
- Other Names
- Njcri (Doing Business As)
- Provider Enumeration Date
- May 9, 2018
- Last Update Date
- May 5, 2025
- Certification Date
- May 2, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 393 Central Ave
Newark, NJ 07103-2842 - City
- Newark
- State
- New Jersey
- Zip
- 07103-2842
- Phone Number
- 973-483-3444
Provider Business Mailing Address Details
- Address
- 393 Central Ave
Newark, NJ 07103-2842 - City
- Newark
- State
- NJ
- Zip
- 07103-2842
- Phone Number
- 973-483-3444
License Information
- Taxonomy (1)
- Contractor · 171W00000X
- Taxonomy (2)
- Case Management · 251B00000X
- License Number (3)
- 101430204
- License State (3)
- NJ
- Taxonomy (3)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · 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 North Jersey Community Research Initiative?
The NPI number of North Jersey Community Research Initiative is 1568951168. It was assigned on May 9, 2018 and is currently active in the NPPES registry.
What is the specialty of North Jersey Community Research Initiative?
North Jersey Community Research Initiative is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X), licensed in NJ under license number 101430204.
Where does North Jersey Community Research Initiative practice?
The practice location is 393 Central Ave, Newark, NJ 07103-2842. The office can be reached at 973-483-3444 (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 1568951168 directly on the NPPES registry website.