Organization · Type 2 NPI

Central Jersey Medical Center, Inc.

Federally Qualified Health Center (FQHC) · Newark, NJ

NPI number 1982087607 Active

Practice location

359 13th Ave
Newark, NJ 07103-2125

Call (973) 679-7709 Map

Fax (732) 324-5765

Mailing address

PO Box 1220, Attn: Credentialing/hr
Perth Amboy, NJ 08862

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	22864 (NJ)

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

Another provider at this address

Christine Galiardo, LCSWClinical Social Worker Newark, NJ NPI 1073278065

Other federally qualified health center (fqhc) providers in Newark

See all in Newark →

NPI record

NPI: 1982087607
Entity type: Organization (Type 2)
Issued: Jun 30, 2015
Last updated: Jan 27, 2023
Status: Active

Other names

<unavail>
Central Jersey Medical Center at 13th Ave School · other name
Jewish Renaissance Medical Center at 13th Ave School · other name

Authorized official

Mr. Jack O'Leary
CEO
(732) 376-9333

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1982087607

Central Jersey Medical Center, Inc.'s National Provider Identifier is 1982087607, issued on Jun 30, 2015. 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 Jan 27, 2023.