# NEWARK AIDS CONSORTIUM, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Broadway House for Continuing Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538168885
- **Authorized official:** MR. JAMES R. GONZALEZ (PRESIDENT / CEO)
- **Authorized official phone:** (973) 268-9797

## Contact information

- **Practice address:** 298 BROADWAY, NEWARK, NJ 07104-4003
- **Practice address phone:** (973) 268-9797
- **Practice address fax:** (973) 483-0418
- **Mailing address:** 298 BROADWAY, NEWARK, NJ 07104-4003
- **Mailing address phone:** (973) 268-9797
- **Mailing address fax:** (973) 483-0418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 060738 | NJ | Yes |

## Other

- **Enumeration date:** 07/19/2005
- **Last updated:** 01/06/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6400400 | — | NJ |