| Central Jersey Medical Center, Inc | |
|
21 Quitman St Newark NJ 07103-4105 | |
| (973) 424-4329 | |
| Not Available |
| Full Name | Central Jersey Medical Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 21 Quitman St, Newark, New Jersey |
| Authorized Official Name and Position | Jack O'leary (CEO) |
| Authorized Official Contact | 7323769333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Jersey Medical Center, Inc Po Box 1220 Perth Amboy NJ 08862-1220 Ph: (732) 376-6635 | Central Jersey Medical Center, Inc 21 Quitman St Newark NJ 07103-4105 Ph: (973) 424-4329 |
| NPI Number | 1124230883 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 01/30/2023 |
| Medicare PECOS PAC ID | 1456301241 |
|---|---|
| Medicare Enrollment ID | O20140616000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124230883 | NPI | - | NPPES |
| 0115045 | Medicaid | NJ | |
| 0193763 | Medicaid | NJ | |
| 1342304 | Medicaid | NJ | |
| 0124869 | Medicaid | NJ | |
| 0751103 | Medicaid | NJ | |
| 8462500 | Medicaid | NJ | |
| 8932603 | Medicaid | NJ | |
| 0097837 | Medicaid | NJ | |
| 0183252 | Medicaid | NJ | |
| 8096201 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 23979 (New Jersey) | Primary |
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