James Park Healthcare Inc

LBN: James Park Healthcare Inc
James Park Healthcare Inc is an health care organization with primary practice located at 5 Stuyvesant Ave , Newark NJ 07106-1711. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. James Park Healthcare Inc can be contacted via phone (973) 399-3336, or through Covington, Michelle Reese via phone (973) 399-3336.

Contact Information

Primary practice address
5 Stuyvesant Ave Newark NJ 07106-1711
Phone: (973) 399-3336
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Covington, Michelle Reese
Phone: (973) 399-3336

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MA038265 New Jersey

Profile Details

NPI number 1174629810
LBN Legal business name James Park Healthcare Inc
DBA Doing business as
Authorized official Covington, Michelle Reese
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174629810 NPPES
New Jersey MEDICAID 0021717

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