Organization · Type 2 NPI

City of Newark

Federally Qualified Health Center (FQHC) · Newark, NJ

NPI number 1104647635 Active

Practice location

394 University Ave
Newark, NJ 07102-1221

Mailing address

110 William St
Newark, NJ 07102-1304

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1104647635

City of Newark's National Provider Identifier is 1104647635, issued on Oct 17, 2024. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Newark, NJ. The record was last updated on Sep 9, 2025.