# COLUMBUS HOSPITAL ADULT PRIMARY CARE ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437225877
- **Authorized official:** MR. VINCENT RICCITELLI (V.P. SPECIAL PROJECTS)
- **Authorized official phone:** (973) 491-2958

## Contact information

- **Practice address:** 495 N 13TH ST, NEWARK, NJ 07107-1317
- **Practice address phone:** (973) 268-1407
- **Practice address fax:** (973) 690-3605
- **Mailing address:** 1160 RAYMOND BLVD, 8TH FLOOR - PHYSICIAN SERVICES, NEWARK, NJ 07102-4168
- **Mailing address phone:** (973) 491-2958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 09/11/2025